| 02/08/2012 |
| 08:17:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VEDROS, JEANNE, | 57-009233 | R | 5.00 | 4271********7604 | 079111 | 02/08/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 5.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |