| 10/26/2016 |
| 06:58:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NICHOLAS, DEQUA, | SM-M11081 | R | 19.95 | 4060********4139 | 083607 | 10/26/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.95 |