| 10/04/2016 |
| 13:21:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BORDEN, LISA | H6-5573004899 | 1 | 10.00 | 3717*******4006 | 103679 | 10/03/2016 |
| Count | Card Type | Total |
| 1 | American Express | 10.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.00 |