| 11/25/2011 |
| 05:51:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GRIEGO, SAM | 5B-006845 | 4 | 84.95 | 4639********7077 | 044301 | 11/25/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 84.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 84.95 |