| 12/07/2011 |
| 11:14:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| THOMASON, TABIT, | 5F-004319 | R | 69.00 | 5465********7246 | 001816 | 12/07/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 69.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |