| 10/19/2011 |
| 09:23:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CUMMINGS, LACI, | 5B-000922 | R | 29.99 | 4803********1201 | 680320 | 10/19/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |