| 12/11/2013 |
| 08:07:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ZEID, ADAM, | D6-037952 | R | 29.95 | 5109********3834 | H63821 | 12/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.95 |