| 09/28/2016 |
| 07:33:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GROVER, CLAUDIA, UNDEFINED | L4-5563001334 | R | 52.00 | 5178********9401 | 04268Z | 09/28/2016 |
| KAZEMI, ASHLEY, UNDEFINED | L4-5563005846 | R | 50.00 | 5178********9401 | 04285Z | 09/28/2016 |
| PAVELEC, VERA, UNDEFINED | L4-17112534 | R | 82.00 | 5462********2477 | 395424 | 09/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 3 | MasterCard | 184.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 184.00 |