| 04/05/2017 |
| 06:47:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TATE, CRYSTAL, | DS-125912 | R | 31.19 | 4190********6988 | 032528 | 04/05/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 31.19 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.19 |