| 07/25/2012 |
| 08:14:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KEITH, ROLLIE, | A3-MEDICAL325 | R | 129.00 | 4342********3305 | 041717 | 07/25/12 |
| SAFARI, JOSH, | A3-10835 | R | 30.00 | 4727********7323 | 364851 | 07/25/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 2 | Visa | 159.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 159.00 |