| 12/28/2011 |
| 05:35:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| REIDENBACH, MER, | 5F-007675 | R | 198.00 | 5178********4530 | 08657Z | 12/28/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 198.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 198.00 |