| 12/07/2016 |
| 09:21:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| REYES, HUGO, | M4-29077 | R | 29.99 | 5466********4137 | 16177Z | 12/07/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |