| 11/30/2016 |
| 07:18:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BERISFORD, TONY, | US-150920 | R | 19.95 | 4036********1308 | 01971C | 11/30/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.95 |