| 10/04/2017 |
| 06:37:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOLLENBAUGH, RO, | VR-FR003892 | R | 31.99 | 5155********0040 | PITJZS | 10/04/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 31.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.99 |