| 12/07/2011 |
| 11:14:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VARELI, GINA, | 6D-002255 | R | 192.00 | 4342********2347 | 343069 | 12/07/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 192.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 192.00 |