| 03/29/2017 |
| 07:14:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DOMBKOWSKI, JOA, | 93-3RMW163549 | R | 88.99 | 4366********6739 | 024505 | 03/29/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 88.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 88.99 |