| 11/15/2011 |
| 08:23:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MUSSOTTO, MARIAH | 2A-013253 | 3 | 21.99 | 4342********6859 | 560530 | 11/15/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.99 |