| 09/27/2017 |
| 06:45:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BURLISON, JEFFE, UNDEFINED | M2-11033 | R | 25.00 | 5460********0309 | 044147 | 09/27/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 25.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |