| 10/19/2011 |
| 09:23:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MORANTZ, RACHEL, | 5T-005722 | R | 39.00 | 3723*******1012 | 184416 | 10/19/11 |
| Count | Card Type | Total |
| 1 | American Express | 39.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |