| 05/03/2017 |
| 06:27:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GIBSON, BRI, | HD-11299 | R | 42.00 | 4430********1173 | 211649 | 05/03/2017 |
| SELF II, LOUIS, | HD-6850 | R | 31.44 | 4430********7914 | 212181 | 05/03/2017 |
| SIWINSKI, SHARO, | HD-3066 | R | 42.01 | 4147********5584 | 06114C | 05/03/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 3 | Visa | 115.45 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 115.45 |