| 09/26/2013 |
| 08:34:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KUZMA, CHELSEA, | 6S-189691615 | R | 53.89 | 5491********0868 | 02657Z | 09/26/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 53.89 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 53.89 |