| 12/29/2010 |
| 09:10:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CIGNA, TANIA 4, | E6-21000756 | R | 44.00 | 4217********8971 | 006553 | 12/29/10 |
| CIGNA, TANIA, | E6-21001512 | R | 36.00 | 4217********8971 | 006553 | 12/29/10 |
| REDFIELD, JUANI, | E6-21000447 | R | 46.00 | 4431********0278 | 065353 | 12/29/10 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 3 | Visa | 126.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 126.00 |