| 08/23/2017 |
| 06:14:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KIZARR, CHARLES, | 84-22958 | R | 215.00 | 4250********1847 | 027729 | 08/23/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 215.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 215.00 |