| 09/25/2013 |
| 06:07:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| REVIS, BRYAN, | G3-465126 | R | 44.99 | 5178********5324 | 254163 | 09/25/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 44.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 44.99 |