| 12/07/2011 |
| 11:14:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VANN, JACKIE, | 4P-005746 | R | 42.90 | 5465********6865 | 000702 | 12/07/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 42.90 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 42.90 |