| 10/12/2011 |
| 07:04:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| AMASON, TORI, | 3X-007813 | R | 10.00 | 4610********4362 | 093307 | 10/12/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 10.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.00 |