| 10/02/2013 |
| 07:29:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOOGVLIET, GRAC, | NV-9900580 | R | 52.97 | 4737********5126 | 896424 | 10/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 52.97 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 52.97 |