| 01/25/2017 |
| 10:35:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BUZA, ADEM, | DS-127022 | R | 31.19 | 4744********2354 | 100504 | 01/25/2017 |
| COZAD, STEPHANI, | DS-125010 | R | 41.19 | 4186********9808 | 021526 | 01/25/2017 |
| HARRIS, JENNIFE, | DS-125906 | R | 31.19 | 4373********9711 | 236881 | 01/25/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 3 | Visa | 103.57 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 103.57 |