| 07/02/2014 |
| 07:06:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SAWICKI, MANDY, | LB-FF15040 | R | 29.00 | 4190********1200 | 027964 | 07/02/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |