| 10/18/2019 |
| 14:48:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LEWIS, FRED, UNDEFINED | Q1-10294 | R | 65.00 | 4400********6024 | 08662D | 10/16/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 65.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 65.00 |