| 11/16/2011 |
| 09:22:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GUILBEAUX, SHEI, | 2K-000762 | R | 92.65 | 4690********7935 | 497967 | 11/16/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 92.65 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 92.65 |