| 10/02/2013 |
| 06:16:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NORLANDER, TOSH, | 5G-806350781 | R | 49.88 | 4037********6831 | 502065 | 10/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.88 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.88 |