| 09/27/2017 |
| 06:41:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DELAIA, GEDIVAL, | A1-703792 | R | 29.99 | 5424********2011 | 85813B | 09/27/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |