| 10/26/2011 |
| 08:44:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BLACK, BLAKE, | 5A-015704 | R | 8.27 | 4426********3317 | 173040 | 10/26/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 8.27 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 8.27 |