| 08/31/2011 |
| 06:10:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PERGES, CHIANTE, | E6-21002591 | R | 34.99 | 4366********6345 | 025925 | 08/31/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.99 |