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Inv# 2022-00000895 - BANK OF AMERICA - 10/31/2022
SEA IT. LIYE IT. LO`IE IT. City of Dania Be:,I E'l P-Card Monthly !'iH :n-Off Sheet Invoice BatcE I i: ; Last4 dialtsofdred]tcardnumbe":xxx-xxxx-Hm J4|L Statementivlliiiii :h: Complete y{iiir monthly P-Card Reconciliation Packet in t]iili\j; Drder P-CardMohthlySign-OffShee.I(thispage) Bank Of Arierica statement Electrohics'cansoforiginalreci:lpts-(mustbeinorderastheyappearontheBa]it`i`= HostAccoultSunmaryformfi:irfoodexpenditures(if applicable) Signatures:Cdrdholder,Reconciler,andDepartmentHeadsignaturesarerequil', thecardholde+.II.Dept.Headis",Lsothecardholderyoumustsigninbothplac€iio theapproving|party;ftransactiimsHstedontheB0Astatement.ThecardholdT thesameperspn.IfDept.Headi!ialsothereconcileryoumustsigninbothplaciL!j transactions listed on the BOA sl:[itement. bFlow,TcerdfythatT 11 ?__ ill__ ,61 By signing iave reviewed and approve all charges as ill co"\il afdr;gul:tidnssetforthinthe"]:'-Cardpoliey"and"P-CardAcknowledgeForm" and fiorward )After revlewl, sign Signature Onuul4~ Guflrf„ Sigriature Signature I-I,1=11(.]l'J1.I=I=.1=1'1=11r!|IIN- print name)Signature ilFiE£Eai{iiiirdr[totstevens@¢aniabeachfl., if America statement) The cardho]der si :he reconciler will si nd reconcfler cannotl s the approving pa nce with the rules 001 {T l]`:I <XXXXXXXXXXX162320221 31 BANKOFAMERICA`i> Purchasing Card Mall BIIIing Inquiries to: BANKCARD CENTER PO Box 660441 Dallas, TX 75266-0441 TTY Hearing lmpalred: Dial "711„ Outslde the U.S.: 1.509.353.6656 24 Hours For Lost or Stolen Card: 1.888.449.2273 24 Hours Global Card Access - your balance, available credit and added convenience, you can register your card and start u Posting Transaction Date Date information whenever, DARIUS GREENE CITY OF DANIA BEAcli F XXXX-XXXX-)OO(X-1623 October 01, 2022 -October 31, 2022 wherever and however you need it. From the dashboard, you c a n Cardholder uickly check your credit llmi cent card activity. Other..9atures like View PIN, Change PIN, Lock Card and Alerts hel[i I/n keep your card secure. For ily view or download y(i.ir current statement up to 12 months of past s(atements. Visit ,I I ,\ r.bofa.com/globalcardaccess Global Card Access 1.i`iday. 10/05 10/04 10/05 10/04 10/05 10/04 10/05 10/04 10/14 10/13 10/14 10/13 10/14 10/13 10/17 10/16 10/18 10/17 10/18 10/17 10/25 10/24 9,LBE: PUBLIX #788 DANIA I BJS WH PUBLIX Reference Number MC (':.`, Cha LESALE#0109 HOLl.'WOOD FL DANIA I: I. BJSWHOLESALE#0109 HOLl.`WOOD FL DOLLAR|TREE DANIA BEil,CH FL :::#:: 3:::: ::I: USAF DTBALL 317€14-1'l'50 lN §§:::#§S#|REG'OND:£FAWAR„86-27&5932FLDANIA I: I. 24137462278001433652295 24137462278001433652451 24137462278001433652113 24137462278001433652378 24445002287000895750704 24137462287001481330108 24137462287001481330280 24492152289868576807214 24040482291286607500019 24137462291001493336436 24137462298001426570716 DDt]OI]DD DDDbl]00 DDflDOD[ H7L5EC]E7]B7DLEiE] BANKOFAMEhlcA #L#NXGtT5gR:bEig886-5731 DARIUS GREENE i::Yw°5ADN|#EBAECAHC:LFVD DAN IA, FL 33d04-3643 to 5411 12.48 53C I:I 294,95 5411 10.29 53Cl:) 112.12 5331 8.75 5411 12.00 5411 146.91 839f; 15.00 869 {:1 44.95 5411 76.58 5411 25.19 Account Number: }it:t:ll 'X-XXXX-}00(X- 1623 October 01, 2022 -t>l)I tober 31, 2022 Total Actlvlty .,,,,, a ,............. „„..„...„.„„ ............. t.... $2,709.77 This ls an electronic roi]roduction of y(i , Ir statement and may not contaln all of the disclosures included 'd I : your original statement. BANKOFAIVIIERICA`J52> Pasting Transactin Date Date 10lz7 1012J 10/28 10/27 10/28 10/27 10/28 10/27 *SHIP SUPPLIES DARIUS GREENE cirv oF DANIA BEACH F X)OO(-XXXX-XXXX-1623 October 01, 2022 - October 31, 2022 Page 3 of 4 Rerference Number 800-.: J5t510 Wl 0111 (: OXXXXXXXXXXXX16232022 :;§'S#::§F£E:EED#§};:RE:D§l`):l#::§H:: £4Ot7£it]ztiuuiu3goa336878 5!,\\" 24193042300000017400298 5!W:i 24137462301001508331925 5:H,l¢1 24137462301001508331842 5:":1 031 1,002.90 488.25 373.50 85.90 .iaiaa ®®g£J=¥'ii!i!!:ii!±aC)e>E.iCai :9 :i in-igCrs ci-sO tRrmt-rv\haunrs-----T- iP]aCHaf h A 1 T1-*t1±r -/ -L- a,aea®i.atafA- L|f-I A1c£Aa J<-£A-cD g £a -i-a -a Q-a a a I III Ea I I II II I I I I I I I I aB E+aIz Z:®I ico1ijl LLEa I¥1 .E alZlI Ia€ a +I :iZl=1 illIIII 0-8i!:£ •ja=j!!iaa a`C€a:€,PL='€i£I5ii£€>€EC:EtC:ce5"I¥CJEiii®%ieB®i.ata:* :9 :i ae BLIJaCHa!-±C1 <•--J- L,f-ia T= a -cea 11,si,9 sfarj Pub oo|r]}-o -5|d'5d-}b Beachway Plaza ' 402 E, Dania Beach Blvd. Dania Beach, FL 33004 Store Manager: Candar,e Har`ris 954-920-4289 BANANAS 5.531b @ 0.70/ lb :#iNii© o.70/,b i:!!Nii® o.70/ lb Order Total Sales Tax Grand Total Credit Change Payment 3,87 F 4.21 F 4.40 F. 1 2 , 48 0,00 1 2 . 48 1 2 . 48 0,00 Receipt ID: 6475 01981407 8818 837 PRESTO! Trace #: 518645 Reference #: 0325078895 Acct #: XXXXXXXXXXXX1623 Purchase VISA Amount: $12.48 Auth #: 096343 CREDIT CARD A0000000031010 Entry Method: Mode : PIJRCHASE VISA CREDIT Chip Read Issuer-PIN Verif led - Your cashier was Daniel A. 10/04/202212:38 S0788 R1517334 C0416 . Join the Publix family! Apply today at apply.publix,jobs. We're an equal ripportunity employer. ,- Publix Super Marka~~.~ ~ I f#,},iT •v'''1 ,fi omaii ira rfRT-`'€ ha 4000 OflKwoolrBLvl] HOLLYWOOD, FL Club Mar, David Lea --+-rfe-, :irfu.itr -, Club:109 fteg:13 Trans;1698 Cashier:434391 10/Oi722 1Z:02pm xxx¥xxxxxxxxxx*xxxxxxxxx¥xxxxx¥¥xxxxxxxx Jt¥* MEMBERSHIP ID. 10950320217 xx* *" HENBERSHIP EXPIRES ON 03/23 #" xrfexxxx"xxxx¥xxxxxxxxx¥xx"xxxxwxxxxxxx CflsH CREDT DBIT ONLY clTy oF ImNm BEACH loo w I]flNm BEflcH BLvl] DANlfl BEacH, FL 33004-3699 E 0858015921280 FL 07/31/27 FICCEPT 0RGfiNIzflTI0N FUNDS ONLY 7343050113 ZEPH wflTER 5200004817 GflTOpflDE 1-2Z 3000057392 3 @ 11.79 8768400444 2 a 9.29 8886700099§ 4400004615 2 a 13,79 3338300243 2 a 8.99 88867010801 2 @ 6,99 7797608268 3800027360 5150082601 2 @ 14.49 3663201024 88867001989 2840069716 3000057489 3800001774 2840069714 7047049203 pM[LtioLB"xpfaq CflpRI SUN`3 +-- wF flNGusirB 0REOCHpf"Y6 1®;+ I -` PINK LflDY WF MflNDflR"``' SNYDER100Cf)L SPKBPrfts STOL SMK GRP`_UNC DflNIMflL§ WF ORB GRf]NN VfiRIETY MIX #;# :iRjHR- PREMIEF!E MIX YOPLFIIT YGRT "" §LIBTOTflL •.-#nggg`,;. 99Eh3EL. 68E Ea•'9.99 i 27,58 E 7i'98" E - 13.98 E 9.99 E 28 . 9`!> 12 , 99 9.99 18 . 99 9.99 1 3 . 29 1 a. 99 7.29 291 , 98 *Mx i5iA`L .`'PU+a,i.9lSLL,_ _291. 9B VERIFIED BY PIN ~ Visa CmNGE TOTfiL ITEH§. 2a .imaiew-- *##***##****1623 9' ' tENTRY: C #fihffiE#unp\RoviD ` L _i TERMINFIL NUMBER 78073010913io/o4/2212..06pm109131698[134a$|___ VIsfl CREDIT am: fioooo00003ioio`''--'--rn nv DT|| ~ ,La `;+==±fLrTFT'--=€` 294 . 95 0,00 FIB a a" Member I Just SAVED£8?58'99 i:;;3!:mi:i:;;:in95 a.,%8 Fuelsav::r::::eEJlir:.io;8#33ao,oo/9, Fuel§aver earned ln thl§ trx: 0.00/91 Vi9lt EJs.com/Gag for more details [nB|P: I:::e|2s:3T::: I a.Vedg$| : !i"0 i::log:v!::::a:geemed '6!.,3i #.;E¥.E#EkcERT{EE¥flT5prv5 T`J f:n{J I.1 t;u._!rllLLi[i Slft. r`fREi .-.J#=.-#r"'§ ``\s`,j 9harj ~ooj`7j-8#? jzj-5j~2d P#,h,.b._,Fx: 4o2E:e#|:yB:a':;a"vd, Dania Beach, FL 33004 Store Marig-E5fi.:±ai±918U#3"16 0EJ4 nn^ I--_954-920-4289BADIA clNN G66dri6 Order To Sa'e§ Grand T Credit bRua;de Pa y ment '0.29 F 70,29 0.00 10,29 70,29 0.00 Receipt JD: 5470 5770 4769 2749104 ---p5F=T; ,--- : :-~-':u= =':¥.1T4. PRESTO! T`[9Ce #: 518640 Reference #: 0325048943 Acct #: XXXXXXXXXXXX1623 Purchase VISA #n::,I 3jgjg8----------.-------- CREDIT CARD i:ojoe:;of##,,o lssuer-pIVNIsjp:U;R,!?E#!f ------------------. your ca§hier was Dariie] A, 70/04/2022 72:23 S0788 MW 7324 C04If w:p:e'yaJ#:#tah;top##ri#f#j77:ri'#;;r. Publ7x Super Markets, Inc, 4000 0flKuOOD BLVD ", drlFT =--zT"-==-.. `` 'ri ,r, HOLLYWOOD, FL dap~ Club Mgr, David Leal Club:109 Fieg:13 Trans:1697 Cashier:434391 10/04/22 12:01 col-ii~Oi~s7"Irjo x¥x](¥x¥*x*#x*x](I(x**x¥¥*xx)(¥*¥x* *** MEllBERSHIP 11}, 10950311128 #** MEMBERSHIP EXPIRES ON 03 CflsH CREl)T DBIT ONLY CITY 0F DflNlf} BEFICH loo w mNlfl BEfl[H BLVD mNIFi BEflcH, FL 33oo4-3699 E 0858015921280 FL 07/31/27 flccEPT 0RGflNIzfiTI0N FUNDS 0N 88867003403 WF wflTER 2 @ 4.29 4900005846 1200001025 4900005848 4900005847 2840069716 2840069718 COKE 35/120Z BRISK TEA SPRITE 36/12 DCOKE 35/12 VflRIETY MIX BLf)SSI[ MIX xx" SuB"TflL xxxx TOTAL **tt*¥**¥"**1623 ENTRY : in i(XXXXX* XXX 3*xx #xxxxxx \. Purchase 00 FIPPROVED~ fluTH 005721 ` _ TE}#y2!riMHi8;3%oi:3.H3439, VIsfl CREDIT f\ID: floooo000031010 VERIFIED BY PIN Visa CHf}NGE ToifiL ITEH§. 8- 112,12 ` 0.00 flB . BJ.8 M®nber I JUST SflvED; $22,42 BJ`s Member savings. 22,42 Coupons Redeemed ` 0,00 Current BJle Ga. §Ivl;g\:'°°' _ flwards Fiedeemed Filelsaver earned thru 10/.03/22 0,Ofi `91 Fuglsaver earned in this trx: 0.00/91 V19it BJs.com/Gag f.or mc}re details p7' |n tht I.it `12 hanth.'` I Saved STO9.28 -B#o#grR:`:e:::dng8 Fuel Savlng§ Redeemed 701. 88 7,40 0.00 a Tflx EXEMPT CERTIFIcflTE MILL ExplRE IN 1761 my§ ENTER FOF3 fi €Hf]NCE T0 WIN fi BJ'§ BIFT CflRDI.*-iiE j~ ,`Ttsj BJ§:::in)i:eg!a:BdFo:b:i+:v:: #J;#Es --|t (954) 266-378b eeDOLLft.B„,'®u.rQt#EE §#rE: ii::a.Pe!gS^!"E! 5a#iE'Baa.;,h-f[`i3004-3Oz8----- ====:.==L==i=" ===.=,==: =========:====="h,,l nEIT]' OTY PRICE DESCRIPTION I, , ` .....--..-.-- un-"r I" ...,.---.-..,..--..--..---. ~. .,H~ I"Sl'l 3ut' 1`nl `SALES (.flh rotal #!!*t*!iT \6,t TOTAL i#i,,g;i8eA,i!n:,Ji:;u"i!,i!(ii#$o ww #xt[.X3!3§i!5§i280 :=:===.===,-=========,~=-=====-.. ====-=====-J=.I ==== :==='--,=== Now Smp ON-`,.INE t\i DOLLAR"EE.cow *,******************,,A *************.h***" * W"iol ql8dlHAchangMn"nop8riad item * * with original raceipt. W@ do not oflar refunds. * t'`*****,,t***********t,********************** '81,I t'J, '8,3.,\ .\ QO\`7J-03-574-5:1~ad EEERE Pub!+LEE,I ~` Be&ctway }`1dza`';':, , i ; :r:::,£;+ B#c!73i;iu `'J. lr¢` her ger: Canctace Harris OO\.",03+57R-£fral --J#4 ,JZO-42lqq DELI LEN -MANGO '® 2FOR 5,00 f.`ELJ I.t=rl MANB0 1¢, 2F0r! 5,00 DEl.I LEMONADE 6fty` 1@ 2FOR 7,00 DFl I- I.EhloljADE~ GAL 2.50 T F 2.50 T F :3.50 T L- TA}!xEHiTF°R 7.i)0 3,50T F Or(.L, 1otal Grdnc!1 -rota.I Credit Change TA,,' I ';:r)fi|VEN Payment •ap`ng.- 12 , 00 1 2 . 00 12 I 00 0.00 i,Bpr " `L :'`L 41@0 fJ124 2b6b 28:38 510 `. ~ - - . ^- -. I.' - .th - I- • rr),I I. ;.,,'. ,, 0443fJ6 !'.I:t7f 'rence #; 023810207-/ Act;t #: XXXXXXXXXXXX1623 Pui-chase VISA Amount: Sl?TOO Auth #: 016019 (;REDIT CARD A000000r)()31010 Entr'y Method: Mode : EEE=iii=E E- _ -iir .- it -- _\ng:Rig:i I§suer-PIN Vtr.iT led -..,--- _ _ _ - . _ " -------yp- Your cashier was sii5ana D. /# \rj,,,3,202.2 ,7:38 §o,,788 R]o4 ,,Z,t3 "2`3,p Juinjhe PuL]1ix family! Apply i("ay at apply.publix`jobs~. We' r.e an e|ua`l opp()rtunity 8mpl(tyer. Publi`} Super Markets, Inc. gr in"i,J 4r)2 E. I)ariia'. Dania ,Beach, Sto,.ti Ma„a[. ;`6 .- 95.. 920 FI Mp FtAv.?R 42cr 2fj.9g Fl I.I+'` C.[ASSIC' 4.,^C{ :f ts, 2`J 9; KH i)Rlu' I(OLL5` Z`,WJff #,J[il,!J`,'h,;#,.i?4" a- -Publ,.# i Be6€ltway Pia<a wl^q r i.\ , ,. #3'33#c'._ +''' 'L+ Ju\J\JIt ,- `-,IStottl Matia{i .' Ca`/7fldt'e HdJ H.i ~`EL .~ 95-. 920~4289 I ;:.fy;-j/:- ` `., fyi,J 8.tJ: -. F A„!6i'#p®Save.l"9 4.2o 44`97 T i Order .rota) b`rdritJ r\'odl C;;red`;. Ihang6 ,-- -" I-(malvEW ga.¥.!flfli.`solnqJ.y 1 46 . 9 1 14f: Q' i'hiha 1 ,Payment Spe5TamfTL`6 f,`av 1 rigr +S,*t***+*f***+.***+*+*'.} * ff+£7 -i:`I/+ds p- '``\- i+ \ fl7:30`\565'~' ~+ ~ . .I - •\-nr# * Your savings 4.20**+**+*************inrer:**th: I hap-rmtr` ReL`eipt JD: :j66-/ 2246 6 PRE'5`m Trac`e #: I Refsrenc;e #: Acct #: XXXX"Xxyxxx`1623 Pi`,i`cha!3e VISAr,,..*"A`iiir;urit : $14[-i id L wiAuth #: o%3i: ., \,I:L4peJ..`,. + -.-.-. I --.-.. #!;;#,!'i',in -- i,i ii#s;zE= \ `jur cashier was ttti)erie A. 1;),'13/202218:`11.)i)788 Rlo8 8771 i.U298 Ami\,u[':|'d;'.`"ha'§:i;.;i::'j;;':rfu3.1I`TTB`an lril mor[iwlity Llilployer. HHh|i¥, SLHl"arkpt.i.. -Jr,Cr ` EE:,=i=-l=+===T=£.a-E:=jL=-=-I cO)-]} -0) -672 -Uff ~l a 11/8/22, 7:56 AM Payment History S. N ®. Course 1 2g22Ls9±±!±£as±JrearJEq!r2QraD[E9Q!±allC- Payment llistory Transaction lD Usemame Amount Paym.ntstrfus 63999825872 spjddyue USD Ok 44.95 Col-T&-Ol-€7H-(l«-)J PBX SHR 4 CHSE MEX 1 @ 2 FOR 5.00 2.50 You Saved 0.79 PBX SHR 4 CHSE MEX 1 @ 2 FOR 5.00 2.50 You Saved PBX ITL STY MTBALL PBX ITL STY MTBALL TOTNO PZ ROI.I. CHSE TOTNO PZ ROLL CHSE Promotion PBLX BROWN SGR PBLX BROWN SGR TOT PZ ROIiLS PEPPR TOT PZ ROLLS PEPPR Promotion TOT PZ ROLLS PEPPR TOT PZ ROLLS PEPPR Promotion TOTNO PZ ROLL CHSE TOTNO PZ ROLL CHSE Promotion SOURDOUGH FR BRD SOURDOUGH FR BRD SOURDOUGH FR BRD SOURDOUGH FR BRD SOURDOUGH FR BRD SOURDOUGH FR BRD Order Total Sales Tax Grand Total Credit 0.79 Payment Change Savings Surmary Special Price Savings 9.99 9.99 7.19 7.19 -7 .19 1.55 1.55 7.19 7.19 -7 .19 7.19 7.19 -7 .19 7.19 7.19 -7 .19 3.29 3.29 3.29 3.29 3.29 3.29 76 . 58 0.00 76 . 58 76 . 58 0.00 30 . 34 • Your Savings at Publix . • 30.34 , Receipt ID: 9121 3938 7193 1506 409 PRESTO I Trace #: 071681 Reference #: 0338146696 Acct # : XXXXXXXXXXXX1623 Purchase VISA inount : .S$76 . 58 Auth #: 002414-.-,----------------- CREDIT CARD A0000000031010 Entry Method: Mode : PURCHASE VISA CREDIT Chip Read Issuer-PIN Verified----.-.------------- _ Your cashier was Etelene A. 10/17/202214:41 S0788 R107 8695 C0298 xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Col-7^-C3-57j~52-2J N/O BUTTER HOT ROL N/O BUTTER HOT ROL N/O BUTTER HOT ROI. N/O BUTTER HOT ROL PBX SHRD FNCY SHP PBX SHR 4 CHSE MEX PBX SHR 4 CHSE MEX Order Total Sales Tax Grand Total Credit Change 3.83 3.83 3.83 3.83 3.29 3.29 3.29 25 .19 0.00 25 .19 Payment 25.19 0.00 Receipt ID: 0446 0963 5319 0821 542 PRESTO I Trace #: 045806 Reference A: 0242239251 Acct # : XXXXXXXXXXXX1623 Purchase VISA mount: $25.19 Auth I: 098029 CREDIT CARD PURCHASE A0000000031010 VISA CREDIT Entry Method: Chip Rea`d Mode : Issuer-PIN verified Your cashier was Rosa A. 10/24/202212:52 S0788 R104 3007 C0287 xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx oo\-la-c3-573-52-20 10/26/22. 4:39 PM ifeELjENE j"89c"295*§5¥® i/'i{?`# C#rl` Hoip Chc!f Liv€} ® ORDER SUBMITTED Order Date: 10/26/2022 Uline: Order Submitted `ta ORDER #.77844988 Thank you for shopping wlth Uline! Your order has been successfully submitted. YouwlMrecelveanemaNconflrmationatforowncaaniabeachfl.govoncethlsorderha§beenprocessed. Ordei Details Billlng Address DANIA BEACH PARKS & REC loo W DANIA BEACH BLVD DANIA BEACH, FL 33004.3643 Shipping Address DANIA BEACH CW THOMAS PARI( I 00 NW 8TH AVE DANIA BEACH, FL 33004.2758 Uline Account #: 10920937 Order Placed By: RODRICK BROWN Model # Description H-9519 Magic Bull®t® S-7127 Uline Deluxe MultLFold Towels Hi)883 PolyJohn® Portable Hand wash station Ship Vicl: AVERITT EXPRESS Will Ship: 10/26/2022 Unlt COs' FREE / EA $35.00 / CT $710.00 / EA Pciymonl M®thod: Vlsa PO#: Qty Ext. Cost 1 FREE 5 S I 75.00 1 $7'0.00 Subtotal = Tc]x = Shlpplng/Handllng = Total = $885.00 $0.00 $ 1 17.90 $ 1 ,002.90 Ooj-n-O>~57a-52`2/ FINISH LINE FEED IRTC. 145 SW 3RD AVE DANIA BEACH, FL 33004 PH (954) 920-1414 C A S H S A L E ?i.soho QTY 35 Signature Check 0.00 o6H}-03-5])-BL'}d INV# P2-76349 Tf AIR LO/2:i /202.2. • Credit Card 488 . 25 DESCRIPTION WHEAT STRAW Charge 0.00 PRICE 03:17:04 P PAYMENT ON ACcotINT TOTAL 13 . 95 "T TENDER sunTOTAL TAX TOTAL 488 . 25 488 . 25 488 . 25 0.00 488 . 25 \-\``\n\ S\ouf3 oo\-l„S-57„-ad -iiiiiiiEE 4000 0flKWDOD BLVD HOLLYWOOD, FL Club Mar. David Leal Club:109 f{eg:15 Trans:6801 Cashier:494113 10/27/22 04:50pm xxxxxxx*xxxxxxx"x¥x"xxxxxxxxxxxxxxxxxx x** MEMBEF!SHIP 11).10950320217 xxx ¥X* MEMBEFtsHIP EXPIRES ON 03/23 "X XXXXX*XXXXX*XXXXXXXW3(XX**"X*XXXXX*"XJf* CflsH CREDT I)BIT ONLY clTy OF mNlfl BEflcH 100 W DflNlfl BEf}CH BLVD DflNlfl BEFICH, FL 33004-3699 E 0858015921280 FL 07/31/27 flccEPT 0RGflNIzflTI0N FUNDS ONLY 4280049481 TOTNOSpzflftL 4280010301 2840069718 2840068982 2840048062 4400005716 3 G 12.79 5200020781 7106816061 2 a 12,99 3800027360 2 810.99 348E689008 7047049203 2 a 7,29 2410011501 2 a 12,99 88867010801 2 a 6,99 1110001731 2 815,99 6150082601 2 a 14,19 7403066169 2 a 9,99 1180000746 2 a 12,19 88867003405 2 a 7,99 TTNSTRPLCHSE CLflssIC MIX FLBVP50CT #!#:ggf#s- GfiTun6`DE 2Oz §FC'dRND30 4''6KmRs STBL WELCHS 90CT yopmlT yGFtT *HEEZITSNflpD WF Mf)NDf)RIM GOLPFISH15CT SMK GRP UNC S"INOCHEESE MOTT§ PIS CUP WF WF`TEFt "" §uBTO"L"" TO"L **"*#""*#1623 Purchase 00 flpmovED ENTRY: C 11.49 E #,i;;: 18.99 E 38.37 E 16,99 E 25,98 E 21.98 E 13,79 E 14.58 E 2E,98 E 13.98 E 31,98 E 28,98 E 19.98 E 21,98 E 15.98 E 373 , 50 373 , 50 fluTH 036165 TERMINflL NUMBER 78073010916 10/27/22 04:5Epm 10915 6801494113 VIsfl CBEDIT f)ID; floooo000031010 VERIFIED BY PIN Vl8a CmNGE TOTflL ITEMS| fl, , BJ'® MI BJ'8 Memb 373 . 60 0,00 I Ju§T §flvEI]: $71,70 Savings 74. 70 g:::::s #:::8 :.,:i Curr.nt BJ'. a.. Savlna. Fuelsaver earned thru 10/26/22 0.00/g1 Fuelsaver earned in this +ry. r` r`nJ-i r ?ti\\ f(,\,vfu\ oo\-l\-03-6l}i„ EH 4000 0flKW00D BLviD HOLLYWOOD, FL Club Mgr. I)avid--Leal i::Ri:£?29§8§i'6 i!;2S;i£76i„,pin f r htr XXX"XX"XXXXXXXX¥¥"""*"XXX*X3(XX~ X¥X MEMBERSHIP 11).10950320217 xxx XXx MEMBERSHIP EXPIRES 0N 03/23 XXX- ~ xxxxxx*x*x"*xxxxxxxxxx**xxxxxx¥xx"xxx# CflsH CREDT I)BIT ONLY clTy OF DfiNla BEflcH -<`~-` ` loo w mNIfi BEficH BLvl] mNm BEficH, FL 33004-3699 E 0858015921280 FL 07/31/27 FICCEPT 0FiGflNIzflTI0N FUNI]S ONLY 8768400444 Cf]Pftl SUN 5 @ 9.29 4300008954 Kf] JAMMERS 6 a 7.89 "w SuBTOTflL"" TO"L VIsfl CREDIT fllD: floooo000031010 VERIFIED BY PIN ~ 46.45 E 39.45 E 85 . 90 85 , 90 "*"***"**1623 EN"Y: C Purc:ha8e 00 flppROVED fluTH 041829 TERMINflL NUMBER 78073010915 10/27/2212:41pm 10916 6763 298035~.u, TO"L IT##O V 8B , 90 0,00 Just SFIVEI): $17.18 1ng9 17,18 emed 0,00 flwardg RedaemBd 0,00 Curr.n+ BJ'. Gla S.vlna. FUBIsaver earned thru 10/26/22 0,00/91 FUEIsavBr earned in this trx: 0.00/91 Visit BJB,c:om/Gas for more details ln th. I.et 12 -month. I a.ved $1,191.69 BJ`9 Member savines 1,030.83 Coupons Redeened 161.25 Fuel savlng8 Redeemed 2.61 "X EXEMPT CEHTIFIcflTE WILL ExpmE IN 1738 mys 5¥flEE E8P§flGiFiNBER5? i.----_ qh i+. BJ!F::m#;EBB -i;:+:±iE Code above or vlsLt ac:k for §urvEg & rules