| 11/09/2011 |
| 09:04:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RUSSELL, AMANDA, | 4A-005644 | R | 99.00 | 5109********2993 | 437983 | 11/09/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 99.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |