| 11/16/2011 |
| 09:30:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BLACK, SARA, | 5D-004343 | R | 55.19 | 4782********3170 | 062593 | 11/16/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 55.19 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.19 |