| 10/26/2011 |
| 08:43:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WINDFIELD, JON, | 3U-002881 | R | 182.00 | 4190********0457 | 029147 | 10/26/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 182.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 182.00 |