| 12/16/2011 |
| 08:58:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LAFONTAINE, DANE | 98-0315069 | R | 19.99 | 5491********0831 | 136998 | 12/16/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |