| 05/11/2016 |
| 07:49:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KATZENELSON, IL, UNDEFINED | K5-5561004099 | R | 84.00 | 3713*******6014 | 141332 | 05/11/2016 |
| Count | Card Type | Total |
| 1 | American Express | 84.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 84.00 |