| 09/27/2017 |
| 06:41:44 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHANEY, JACK, | S3-102339 | R | 74.00 | 4147********1304 | 05816D | 09/27/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 74.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 74.00 |