| 11/13/2013 |
| 08:34:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SELF, MIKE, | 4K-260538701 | R | 99.00 | 5178********7079 | 05293Z | 11/13/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 99.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |