| 07/10/2019 |
| 06:50:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HARTMAN, MADELI, | KX-11562 | R | 99.00 | 4037********6021 | 074007 | 07/10/19 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |