| 11/06/2013 |
| 08:29:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SOKOLOWSKI, PAW, | FC-11099 | R | 41.79 | 4744********9759 | 003712 | 11/06/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 41.79 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 41.79 |