| 10/26/2011 |
| 08:44:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WAITZ, JESSICA, | 6W-007678 | R | 19.99 | 4117********1995 | 113149 | 10/26/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |