| 12/06/2017 |
| 07:39:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOJTABAVI, SHAY, | SN-4162 | R | 33.33 | 4128********7571 | 68832B | 12/06/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 33.33 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 33.33 |