| 10/01/2010 |
| 11:04:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FELDMAN, CODY | DR-00218 | R | 22.50 | 5238********3925 | 935000 | 10/01/10 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 22.50 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 22.50 |