| 12/14/2011 |
| 08:35:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HULSE, HEATHER, | 6Y-001149 | R | 69.00 | 4342********3255 | 711384 | 12/14/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |