| 04/06/2016 |
| 09:00:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ANNQ, SZEWCZUK, | LV-ANNQ | R | 132.00 | 4736********1491 | 035309 | 04/06/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 132.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 132.00 |