| 11/27/2013 |
| 06:09:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HAJDUK, DOROTA, | FC-007043 | R | 197.16 | 4266********3927 | 06261A | 11/27/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 197.16 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 197.16 |