| 09/12/2018 |
| 07:14:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOETZ, ELIZABET, | PD-10399 | R | 52.95 | 3797*******2019 | 122252 | 09/12/2018 |
| Count | Card Type | Total |
| 1 | American Express | 52.95 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 52.95 |