| 10/25/2017 |
| 09:52:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BROWN, TAMIKO, | SM-M10632 | R | 30.00 | 4563********3901 | H97987 | 10/25/17 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 30.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |