| 04/19/2017 |
| 07:03:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LULGJURAJ, GLOR, UNDEFINED | LV-LULGJURAJ1 | R | 70.00 | 3798*******1002 | 126681 | 04/19/2017 |
| Count | Card Type | Total |
| 1 | American Express | 70.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 70.00 |