| 11/30/2016 |
| 07:18:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PALANDRANI 20T,, | TF-TF9556 | R | 99.00 | 4254********3053 | 358589 | 11/30/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |