| 11/09/2011 |
| 09:04:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PITTMAN, CRYSTA, | 6F-001031 | R | 99.00 | 4275********6672 | 015096 | 11/09/11 |
| 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 |