| 11/30/2011 |
| 08:38:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SAENZ, GEORGIA, | 3L-000668 | R | 32.95 | 4417********5459 | 04440C | 11/30/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 32.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 32.95 |