| 05/10/2017 |
| 06:56:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MILLER, GARRY J, | EF-08693 | R | 29.00 | 5464********1375 | 069914 | 05/10/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |