| 09/30/2015 |
| 08:15:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| INTRIAGO, RAUL, | W5-695023 | R | 127.99 | 4000********9925 | 323076 | 09/30/15 |
| MCCULLOCH, DAIS, | W5-686284 | R | 63.99 | 4060********5137 | 083108 | 09/30/15 |
| ZIDICH, DJ, | W5-615744 | R | 63.99 | 4154********9398 | 019869 | 09/30/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 3 | Visa | 255.97 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 255.97 |