| 10/09/2019 |
| 06:55:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BREITWEISER, BR, | 9H-Y79T201331 | R | 110.00 | 6011********6315 | 00984R | 10/09/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 110.00 |
| 0 | Other | 0.00 |
| 110.00 |