| 11/02/2011 |
| 10:45:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CRUMP, GLORIA, | 1S-002602 | R | 49.95 | 4271********5476 | 148068 | 11/02/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.95 |