| 09/28/2015 |
| 09:44:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHINN, GERLENE | 8I-503510 | 5 | 180.00 | 3717*******3018 | 104958 | 09/28/15 |
| Count | Card Type | Total |
| 1 | American Express | 180.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 180.00 |