| 10/21/2015 |
| 08:51:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GORDAN, SHELLY, | SR-9672 | R | 35.00 | 3727*******5094 | 386225 | 10/21/15 |
| Count | Card Type | Total |
| 1 | American Express | 35.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |