| 11/28/2016 |
| 09:21:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JACKSON, JOLANDA | G3-788447 | 5 | 12.99 | 4373********6116 | 665961 | 11/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 12.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 12.99 |