| 12/21/2011 |
| 07:21:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| THIBODEAUX, AMY, | 2K-004438 | R | 39.95 | 4784********9485 | 061423 | 12/21/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.95 |