| 10/26/2011 |
| 08:44:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RICE, JEN, | 4Q-002959 | R | 8.00 | 4744********8154 | 163735 | 10/26/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 8.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 8.00 |