| 09/04/2013 |
| 09:03:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MASKUNAS, ARIAN, | 3Z-973373618 | R | 164.80 | 5109********7938 | H98958 | 09/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 164.80 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 164.80 |