| 08/29/2012 |
| 06:08:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HERRERA, RONNIE, | A3-MEDICAL-47 | R | 149.99 | 4229********3526 | 858630 | 08/29/12 |
| SAFARI, JOSH, | A3-10835 | R | 30.00 | 4727********7323 | 221649 | 08/29/12 |
| VELASQUEZ, JAME, | A3-10013 | R | 32.43 | 4914********4797 | 045573 | 08/29/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 3 | Visa | 212.42 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 212.42 |