| 05/23/2012 |
| 08:49:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DENTON, JODY, | A3-MEDICAL173 | R | 125.00 | 5145********4882 | 061417 | 05/23/12 |
| MAURICIO, KEVIN, | A3-MEDICAL71 | R | 133.33 | 5397********5312 | 418639 | 05/23/12 |
| OJEDA, REBECCA, | A3-1 | R | 43.25 | 4610********6546 | 012907 | 05/23/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 2 | MasterCard | 258.33 |
| 1 | Visa | 43.25 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 301.58 |