| 12/21/2011 |
| 07:21:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BELVEAL, ERICA, | 3B-009022 | R | 10.60 | 4640********2196 | 03763C | 12/21/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 10.60 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.60 |