| 11/30/2016 |
| 07:07:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COWAP, JANE BUL, | 80-13648 | R | 19.99 | 4032********0306 | 266850 | 11/30/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |