| 05/17/2017 |
| 06:26:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GROVER, CLAUDIA, UNDEFINED | L4-5563001334 | R | 57.00 | 5178********9401 | 01263Z | 05/17/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 57.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 57.00 |