| 12/07/2011 |
| 11:14:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CROSS, MARIA, | 6W-008317 | R | 49.00 | 5401********6471 | 08552Z | 12/07/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 49.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |