| 11/06/2013 |
| 08:27:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| POLATIS, LINDSE, | 2S-002333 | R | 62.69 | 4453********4807 | 006789 | 11/06/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 62.69 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 62.69 |