| 10/04/2017 |
| 06:37:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOFMEISTER, MIC, | 83-1201968 | R | 19.00 | 4815********1312 | 193611 | 10/04/2017 |
| SANTAMARIA, KEL, | 83-12007076 | R | 19.00 | 5491********8074 | 040300 | 10/04/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.00 |
| 1 | Visa | 19.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 38.00 |