| 01/18/2012 |
| 06:06:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WILCOX, DONNA, | 4Q-008384 | R | 79.00 | 4867********7249 | 01643H | 01/18/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |