| 06/20/2012 |
| 08:47:49 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KEITH, ROLLIE, | A3-MEDICAL325 | R | 129.00 | 4342********3305 | 370810 | 06/20/12 |
| STAFFORD, WILLI, | A3-MEDICAL299 | R | 125.00 | 5371********9613 | 081854 | 06/20/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 125.00 |
| 1 | Visa | 129.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 254.00 |