| 09/04/2019 |
| 06:46:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CASH, JACOB, | BX-1049 | R | 15.00 | 4020********2768 | 631033 | 09/04/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 15.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 15.00 |