| 11/13/2019 |
| 07:42:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JACOBS, LEO, UNDEFINED | 53-033833 | R | 39.00 | 4833********6772 | 065407 | 11/13/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |