| 12/10/2011 |
| 15:15:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORNSTEIN, PATTY | 3L-006302 | 2 | 5.00 | 3728*******2018 | 182020 | 12/10/11 |
| SINIFF, BRIAN | 3L-004518 | 2 | 5.00 | 5142********9184 | 257105 | 12/10/11 |
| SINIFF, SANDYE | 3L-004517 | 2 | 5.00 | 5142********9184 | 257112 | 12/10/11 |
| Count | Card Type | Total |
| 1 | American Express | 5.00 |
| 2 | MasterCard | 10.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 15.00 |