| 03/20/2019 |
| 06:02:44 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SOUZA, ALLEN, UNDEFINED | 80-19149 | R | 25.00 | 5129********4970 | 581643 | 03/20/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 25.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |