| 12/13/2017 |
| 07:13:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VALENZIANO-BARL, | D4-fm003215 | R | 90.51 | 3798*******1009 | 164487 | 12/13/2017 |
| Count | Card Type | Total |
| 1 | American Express | 90.51 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 90.51 |