| 04/26/2017 |
| 06:17:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BERTHIAUME, JAS, | D4-FE000878 | R | 42.05 | 4190********4855 | 019299 | 04/26/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 42.05 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 42.05 |