| 12/21/2011 |
| 07:21:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ELLIS, PAM, | 3M-013687 | R | 187.00 | 5545********6660 | 05682B | 12/21/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 187.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 187.00 |