| 09/28/2011 |
| 05:52:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DURAN, GENIE, | 3G-770664423 | R | 107.50 | 4303********2506 | Q93933 | 09/28/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 107.50 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 107.50 |