| 12/05/2017 |
| 16:10:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BORDEN, LISA | H6-5573004899 | 1 | 134.00 | 3717*******4006 | 184613 | 12/04/2017 |
| Count | Card Type | Total |
| 1 | American Express | 134.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 134.00 |