| 08/30/2017 |
| 07:20:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| O KUSSICK, RONE, | BY-108964 | R | 57.00 | 5524********1763 | 02623Z | 08/30/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 57.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 57.00 |