| 09/11/2013 |
| 09:15:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| AMBRUS, ANGELA, | 6Q-888864007 | R | 5.00 | 4115********2556 | 050268 | 09/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 5.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |