| 11/28/2017 |
| 15:03:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JABCZYNSKI, LOU, UNDEFINED | H6-5573000996 | R | 93.99 | 5403********6377 | 095423 | 10/25/2017 |
| PROVAZNIKOVA, Z, UNDEFINED | H6-5573015092 | R | 60.00 | 5403********6529 | 225641 | 10/25/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 2 | MasterCard | 153.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 153.99 |