| 09/13/2017 |
| 07:07:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| EREGINA, VLADIS, UNDEFINED | J3-5574112905 | R | 60.00 | 4093********2831 | KSXD66 | 09/13/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 60.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 60.00 |