| 10/19/2011 |
| 09:23:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HARVEY, PAT, | 13-011118 | R | 69.00 | 5109********4123 | 472939 | 10/19/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 69.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |