| 08/22/2012 |
| 06:15:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HERRERA, RONNIE, | A3-11044 | R | 27.03 | 4229********3526 | 189086 | 08/22/12 |
| LOPEZ, LISA, | A3-10875 | R | 129.00 | 4631********1138 | 032356 | 08/22/12 |
| MAURICIO, KEVIN, | A3-MEDICAL71 | R | 133.33 | 5397********5312 | 168142 | 08/22/12 |
| NELSON, JASON, | A3-MEDICAL76 | R | 110.00 | 5109********2429 | H64295 | 08/22/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 2 | MasterCard | 243.33 |
| 2 | Visa | 156.03 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 399.36 |