| 10/10/2011 |
| 12:42:32 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOUSTON, KATIE | 4Q-004303 | 2 | 29.95 | 4868********9303 | 819850 | 10/10/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.95 |