| 01/11/2012 |
| 08:50:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LAVELLE, ROSE, | 58-007036 | R | 99.00 | 4258********9253 | 042047 | 01/11/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |