| 10/02/2013 |
| 06:16:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JAZAYERI, ASHLE, | 5S-453120148 | R | 59.00 | 4190********5039 | 029197 | 10/02/13 |
| JAZAYERI, MICHE, | 5S-761843875 | R | 59.01 | 4190********5039 | 017139 | 10/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 2 | Visa | 118.01 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 118.01 |