| 09/25/2013 |
| 06:07:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ZAVALA, THOMAS, | FP-457760 | R | 24.99 | 5403********8867 | 055430 | 09/25/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 24.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 24.99 |