| 10/19/2011 |
| 09:23:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HAMBRIC, CHRIST, | 5C-005559 | R | 59.00 | 4432********6609 | 027903 | 10/19/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |