| 09/04/2013 |
| 09:05:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JANSEN, INGER, | MH-27277 | R | 68.00 | 4264********9490 | 035336 | 09/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 68.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 68.00 |