| 05/17/2017 |
| 09:18:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FRATCZAK, MARIU, | FC-17140 | R | 55.76 | 5178********5592 | 07017Z | 05/17/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 55.76 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.76 |