| 11/27/2019 |
| 08:14:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JUSZCZAK, ALYSS, UNDEFINED | 7A-301379 | R | 28.00 | 4291********0931 | 01472B | 11/27/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 28.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 28.00 |