| 09/11/2013 |
| 09:14:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOTEZA, ARIANA, | 3W-618418711 | R | 49.99 | 5196********6871 | 004551 | 09/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 49.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.99 |