| 12/27/2017 |
| 07:20:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JENSEN-RICHARDS, UNDEFINED | J3-5574108794 | R | 59.00 | 5524********3900 | 00419M | 12/27/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 59.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |