| 12/07/2017 |
| 16:10:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KIHM, ANDREA, | LS-108048 | R | 53.36 | 4217********4670 | 624536 | 11/16/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 53.36 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 53.36 |