| 09/07/2011 |
| 11:07:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PAGE, DARLA, | 3G-654245891 | R | 101.00 | 4259********0682 | 563422 | 09/07/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 101.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 101.00 |