| 11/28/2011 |
| 08:21:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DICKEY, MATT | DH-ST23059 | R | 39.22 | 3715*******3004 | 169895 | 11/28/11 |
| Count | Card Type | Total |
| 1 | American Express | 39.22 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.22 |