| 10/01/2018 |
| 12:17:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CUEVAS, LANCE | 9A-1114253 | 1 | 1.00 | 3798*******1000 | 170390 | 10/01/2018 |
| Count | Card Type | Total |
| 1 | American Express | 1.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 1.00 |