| 12/14/2011 |
| 08:35:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ANDERSON, DANIE, | 6W-007923 | R | 49.00 | 5312********6738 | 172500 | 12/14/11 |
| 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 |