| 10/12/2011 |
| 07:04:20 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SOUCY, JUSTIN, | 3H-001430 | R | 19.98 | 4492********2038 | 033245 | 10/12/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.98 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.98 |