| 12/14/2011 |
| 08:35:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BLAKELY, TAWANN, | 4Q-008740 | R | 59.00 | 4149********1076 | 628177 | 12/14/11 |
| ROCKOV, CELESTE, | 4Q-009519 | R | 158.00 | 4744********1240 | 141096 | 12/14/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 2 | Visa | 217.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 217.00 |