| 12/07/2017 |
| 16:10:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DIEP, ERIC, | FA-822955 | R | 6.00 | 4160********9780 | 005213 | 11/16/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 6.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 6.00 |