| 01/18/2017 |
| 06:59:33 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LIPKA, DARIUSZ, | FC-14246 | R | 84.76 | 4117********7100 | 135419 | 01/18/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 84.76 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 84.76 |