| 09/06/2017 |
| 06:46:32 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SMITH, TOBY, | SR-9762 | R | 180.00 | 4355********5807 | 109125 | 09/06/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 180.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 180.00 |