| 12/14/2011 |
| 08:28:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DOLLARHIDE, SHE, | E6-21001296 | R | 44.00 | 5403********5548 | 691178 | 12/14/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 44.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 44.00 |