| 08/30/2017 |
| 07:20:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GULBRANSON, SAM, | D4-MN200947 | R | 31.36 | 5576********8856 | 535880 | 08/30/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 31.36 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.36 |