| 11/23/2016 |
| 09:45:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GEORGIEV X, NIK, | HD-11050 | R | 26.00 | 5178********3756 | 03899Z | 11/23/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 26.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 26.00 |