| 12/01/2019 |
| 17:53:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MARTIN, LEVI | X9-8895119 | 1 | 30.00 | 5367********0793 | 009762 | 12/01/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 30.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |