| 12/07/2011 |
| 11:14:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOSSER, KRISTIE, | 5A-014781 | R | 30.74 | 4869********1946 | 010551 | 12/07/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 30.74 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.74 |