| 10/19/2011 |
| 09:23:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOSS, ASHLEY, | 3W-008981 | R | 69.30 | 3717*******2028 | 160854 | 10/19/11 |
| Count | Card Type | Total |
| 1 | American Express | 69.30 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.30 |