| 11/16/2016 |
| 06:51:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ADAMS, BRENT, | FG-FG15422 | R | 43.00 | 4512********3484 | 749993 | 11/16/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 43.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 43.00 |