| 09/21/2015 |
| 09:45:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JIMENEZ, NATALIE | F1-696563 | 4 | 58.99 | 4815********6728 | 173062 | 09/21/15 |
| JORGENSON, STACEY | F1-565086 | 4 | 156.00 | 4425********5366 | 021538 | 09/21/15 |
| TILLER, ZACH | F1-696566 | 4 | 57.99 | 4815********6728 | 163760 | 09/21/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 3 | Visa | 272.98 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 272.98 |