| 10/09/2013 |
| 07:35:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TIETGE, DAVID, | NV-9900732 | R | 52.97 | 5142********6910 | 125215 | 10/09/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 52.97 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 52.97 |