| 05/25/2016 |
| 06:16:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RAO, MITAL, | BD-20746 | R | 21.00 | 3715*******3000 | 162057 | 05/25/2016 |
| Count | Card Type | Total |
| 1 | American Express | 21.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.00 |