| 10/30/2013 |
| 06:04:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ZEID, ADAM, | D6-037952 | R | 59.90 | 5109********3834 | H61869 | 10/30/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 59.90 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.90 |