| 03/16/2017 |
| 09:05:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BUSH, JUSTIN, | 5M-FF36418 | R | 3.00 | 5152********2128 | 867961 | 03/16/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 3.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 3.00 |