| 08/23/2017 |
| 06:14:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SAMPSON, QUINTO, | CE-7138163300 | R | 25.00 | 5178********5823 | 06770Z | 08/23/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 25.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |