| 02/22/2017 |
| 06:50:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GRIMM, DAVID, UNDEFINED | RL-21480 | R | 75.00 | 5178********2989 | 00350Z | 02/22/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 75.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 75.00 |