| 12/06/2017 |
| 07:46:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BOLLIN, DREW, UNDEFINED | 53-034149 | R | 91.00 | 4427********3783 | 692772 | 12/06/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 91.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 91.00 |