| 10/04/2017 |
| 06:37:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORREST, TYLER, | FQ-756457 | R | 29.99 | 4037********2994 | 604023 | 10/04/2017 |
| Lourenco, SANDI, | FQ-589160 | R | 10.00 | 4342********5868 | 079991 | 10/04/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 2 | Visa | 39.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.99 |