| 10/05/2016 |
| 07:44:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MAXON, CHARLOTT, | NV-380105901 | R | 41.73 | 3774*******4006 | 974005 | 10/05/2016 |
| Count | Card Type | Total |
| 1 | American Express | 41.73 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 41.73 |