| 10/19/2011 |
| 09:23:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DULIER, CRYSTAL, | 21-003049 | R | 79.00 | 5491********5838 | 01955B | 10/19/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 79.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |