| 10/02/2013 |
| 07:28:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SCRIBNER, ROBER, | A3-10602 | R | 258.00 | 5178********0967 | 02551Z | 10/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 258.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 258.00 |