| 11/16/2011 |
| 09:30:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ARGENCE, CRYSTA, | 5R-000926 | R | 100.00 | 4266********1723 | 03791B | 11/16/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 100.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 100.00 |