| 12/17/2014 |
| 09:36:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOMICZEWSKI, LI, | M4-28907 | R | 24.99 | 4737********2050 | 513141 | 12/17/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 24.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 24.99 |