| 10/04/2017 |
| 06:37:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOSS, JENNIFER, | BX-987 | R | 18.00 | 4327********1115 | 635301 | 10/04/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 18.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 18.00 |