| 12/11/2019 |
| 06:53:33 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KORCZYNSKI, CAR, UNDEFINED | 8S-4000733 | R | 47.19 | 4184********5830 | 004829 | 12/11/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 47.19 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 47.19 |