| 05/02/2013 |
| 08:08:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BERGSTROM, ROBI, | 59-006023 | R | 44.00 | 4129********5216 | 061250 | 05/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 44.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 44.00 |