| 06/21/2017 |
| 05:47:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BOLIVER, GABRIE, | BG-10256 | R | 29.00 | 4342********8037 | 891458 | 06/21/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |