| 09/27/2017 |
| 06:41:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KASPARIE, DALLA, | MX-KASPARIE | R | 120.00 | 5238********0080 | 350930 | 09/27/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 120.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 120.00 |