| 12/14/2011 |
| 08:35:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BERRY, VICKI, | 4X-001376 | R | 19.98 | 5108********6001 | 071910 | 12/14/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.98 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.98 |