| 12/10/2014 |
| 07:57:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIEPSIAK, MONIK, | FC-12437 | R | 41.79 | 6011********6790 | 01047R | 12/10/14 |
| ZAMBRANA, JOHNA, | FC-12433 | R | 41.79 | 4207********8151 | 092608 | 12/10/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 41.79 |
| 1 | Discover | 41.79 |
| 0 | Other | 0.00 |
| 83.58 |