| 02/08/2017 |
| 07:05:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NOVACK PERHOS,, | GF-11317 | R | 61.77 | 4022********1965 | 055367 | 02/08/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 61.77 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 61.77 |