| 10/04/2017 |
| 06:37:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PELLETIER, TARA, | LB-FF24305 | R | 29.00 | 4568********1378 | 063500 | 10/04/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |