| 10/12/2011 |
| 07:04:22 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FUOCO, ERICKA, | PB-017483 | R | 69.00 | 4867********7891 | 033307 | 10/12/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |