| 12/04/2013 |
| 08:42:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BESS, ROBERT, | FU-040944 | R | 24.99 | 4305********5691 | 01513A | 12/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 24.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 24.99 |