| 05/31/2017 |
| 13:42:18 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DA SILVA, CLAUD, UNDEFINED | 80-14494 | R | 19.99 | 4115********1665 | 080258 | 05/31/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |