| 12/04/2019 |
| 05:34:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BLALACK, FALETO, | ML-3855 | R | 43.25 | 4943********2761 | 671098 | 12/04/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 43.25 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 43.25 |