| 09/18/2013 |
| 06:14:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PERUSICH, ALEXI, | 6D-003105 | R | 19.48 | 5111********5465 | 055411 | 09/18/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.48 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.48 |