| 09/21/2016 |
| 07:20:18 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MILLER, TIFFANY, | P1-07023 | R | 95.00 | 4630********3669 | 063453 | 09/21/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 95.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 95.00 |