| 12/18/2013 |
| 08:15:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| POLYAK, GELENA, | BY-106635 | R | 50.00 | 5129********5159 | 131993 | 12/18/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 50.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.00 |