| 07/19/2017 |
| 07:11:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MEWBORN, GARY, | LB-FF29433 | R | 105.00 | 4190********4145 | 000177 | 07/19/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 105.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 105.00 |