| 12/13/2017 |
| 07:22:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| QUISMOTO, ADDY, UNDEFINED | M2-9805 | R | 20.00 | 4342********9166 | 060871 | 12/13/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 20.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 20.00 |