| 05/29/2019 |
| 06:59:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHAMSARIAN, MAT, UNDEFINED | 80-18054 | R | 25.00 | 4147********7569 | 05363D | 05/29/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |