| 01/28/2015 |
| 06:25:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ZIELINSKI, ED, | BD-20660 | R | 29.00 | 4158********7580 | 011227 | 01/28/15 |
| 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 |