| 11/16/2011 |
| 09:30:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SCOTT, GINA, | 4G-000199 | R | 39.00 | 4147********5072 | 01615B | 11/16/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |