| 10/17/2018 |
| 06:41:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORSYTH, SCOTT, | ZQ-703330 | R | 29.99 | 5240********3825 | 00255B | 10/17/2018 |
| 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 |