| 12/14/2011 |
| 08:35:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHRISTIAN, GEMM, | 5Y-011414 | R | 69.17 | 4054********1622 | 022806 | 12/14/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.17 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.17 |