| 12/14/2011 |
| 08:28:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VALENCIA, JANET, | J7-20002592 | R | 21.99 | 4736********5913 | 012282 | 12/14/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.99 |