| 05/22/2013 |
| 08:20:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BENGTSON, DOUGL, | MM-24810 | R | 95.00 | 3717*******2000 | 180069 | 05/22/13 |
| Count | Card Type | Total |
| 1 | American Express | 95.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 95.00 |