| 01/11/2012 |
| 08:50:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARDWELL, SISSY, | 6C-001031 | R | 99.00 | 4403********4211 | 006337 | 01/11/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |