| 10/25/2011 |
| 10:24:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RYAN, TIM | D4-102640 | R | 10.00 | 4655********6784 | 000776 | 10/25/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 10.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.00 |