| 01/03/2011 |
| 12:18:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HILL, WALLY | NX-722041301 | 1 | 25.00 | 4520********3840 | 051599 | 01/03/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |