| 01/30/2019 |
| 06:49:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WESTERN, NATASH, | HZ-31900 | R | 69.19 | 5178********7081 | 01429B | 01/30/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 69.19 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.19 |