| 09/12/2012 |
| 06:03:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GARCIA, ELIUD, | A3-D00615 | R | 32.43 | 4610********3950 | 014006 | 09/12/12 |
| PENN, GERALDINE, | A3-10814 | R | 64.87 | 5113********8960 | 000383 | 09/12/12 |
| SANCHEZ, JESUS, | A3-MEDICAL235 | R | 129.00 | 5461********9645 | 560269 | 09/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 2 | MasterCard | 193.87 |
| 1 | Visa | 32.43 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 226.30 |