| 01/11/2012 |
| 08:47:06 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BACKUS, CLAUDIA, | 3Q-003563 | R | 55.00 | 4465********4347 | 01144B | 01/11/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 55.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.00 |