| 11/04/2010 |
| 09:24:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FOWLKES, LISA | D4-101101 | R | 29.16 | 4108********1686 | 018924 | 11/04/10 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.16 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.16 |