| 10/12/2011 |
| 07:04:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROBERTSON, TERR, | 2H-003215 | R | 39.00 | 4668********2021 | 073153 | 10/12/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |