| 11/30/2016 |
| 07:17:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SMITH, AMY, UNDEFINED | K5-5561001569 | R | 39.99 | 5524********2156 | 00766Z | 11/30/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.99 |