| 12/10/2011 |
| 15:15:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DEDONATIS, TAMI | 4G-006201 | 2 | 39.00 | 4744********8423 | 155596 | 12/10/11 |
| 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 |