| 10/05/2011 |
| 08:59:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARDWELL, JEAN, | 4Y-009969 | R | 39.95 | 4313********7090 | 03519B | 10/05/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.95 |