| 09/28/2016 |
| 07:34:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BLANCO, KATLLRR, | 4U-787720 | R | 17.99 | 5403********0933 | 326063 | 09/28/2016 |
| BLANCO, RAFAEL, | 4U-847633 | R | 21.99 | 5403********0933 | 343252 | 09/28/2016 |
| WARDA, JAMES SI, | 4U-826206 | R | 22.99 | 5403********3904 | 335098 | 09/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 3 | MasterCard | 62.97 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 62.97 |