| 10/05/2011 |
| 08:58:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DANIEL, DEEDEE, | 21-003562 | R | 69.00 | 4282********2169 | 082409 | 10/05/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |