| 11/30/2011 |
| 08:38:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MICKEL, RICK, | 4Z-006861 | R | 5.00 | 4430********9271 | 462398 | 11/30/11 |
| PAWLOSKI, BRIDG, | 4Z-001507 | R | 5.00 | 4717********4537 | 123342 | 11/30/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 2 | Visa | 10.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.00 |