| 04/03/2019 |
| 06:16:22 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIMEROTH, JACOB, | D2-EVO4011 | R | 42.20 | 4739********7673 | 060649 | 04/03/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 42.20 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 42.20 |