| 11/30/2016 |
| 07:18:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NILES, CAMERON, | FU-538147 | R | 19.99 | 5178********0645 | 08514B | 11/30/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |