| 05/07/2014 |
| 06:10:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GRUBIAK, BARBAR, | WZ-BG5161 | R | 285.00 | 5491********8174 | 00787B | 05/07/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 285.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 285.00 |