| 11/16/2011 |
| 09:22:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HERRERA, MARSHA, | 39-008000 | R | 69.00 | 5455********3565 | 796670 | 11/16/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 69.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |