| 12/11/2013 |
| 08:05:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JAZAYERI, ASHLE, | 5S-453120148 | R | 59.00 | 4190********5039 | 007683 | 12/11/13 |
| JAZAYERI, MICHE, | 5S-761843875 | R | 59.01 | 4190********5039 | 028852 | 12/11/13 |
| LUNDSTRUM, STEP, | 5S-313153124 | R | 49.00 | 3725*******1013 | 145230 | 12/11/13 |
| Count | Card Type | Total |
| 1 | American Express | 49.00 |
| 0 | MasterCard | 0.00 |
| 2 | Visa | 118.01 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 167.01 |