| 10/09/2013 |
| 07:35:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| IDZIAK III, BON, | Y3-7595 | R | 67.43 | 5291********2887 | 07082Z | 10/09/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 67.43 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 67.43 |