| 12/14/2016 |
| 07:49:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GONZALEZ, RONAL, | FV-584347 | R | 19.99 | 4366********9188 | 021158 | 12/14/2016 |
| 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 |