| 01/02/2013 |
| 06:47:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BERGMAN, BOBBIE, | 3U-001259 | R | 69.00 | 5424********4277 | 02214P | 01/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 69.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |