| 11/30/2016 |
| 07:18:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HILGER, CHUCK, | FG-FG14237 | R | 10.00 | 4147********8730 | 030933 | 11/30/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 10.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.00 |