| 12/07/2011 |
| 11:14:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HUMPHRY, WENDY, | 23-004531 | R | 5.00 | 4147********5233 | 06581C | 12/07/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 5.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |