| 01/16/2019 |
| 06:47:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORNISHI, PATRI, | SA-A113318 | R | 39.99 | 5147********4381 | 106593 | 01/16/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.99 |