| 10/19/2011 |
| 09:23:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LANE, ERIN, | 4A-005490 | R | 99.00 | 4046********9434 | 003734 | 10/19/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |