| 09/18/2013 |
| 06:16:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CASILLOS, ERLIN, | GH-W6071 | R | 29.00 | 4342********1922 | 575769 | 09/18/13 |
| JIMENEZ, CHRIST, | GH-W6630 | R | 29.00 | 5178********3288 | 309254 | 09/18/13 |
| PAOLILLI, CHRIS, | GH-W5433 | R | 29.00 | 4815********6032 | 155485 | 09/18/13 |
| THEMINS, DEREK, | GH-W6125 | R | 39.00 | 4298********2100 | 886793 | 09/18/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 3 | Visa | 97.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 126.00 |