| 11/06/2013 |
| 08:27:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DELAVEGA, KIERS, | 4Y-25974086 | R | 49.95 | 5465********1779 | H65207 | 11/06/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 49.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.95 |