| 10/10/2012 |
| 08:38:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DENTON, JODY, | A3-MEDICAL173 | R | 125.00 | 5145********4882 | 060619 | 10/10/12 |
| SAFARI, JOSH, | A3-10835 | R | 34.88 | 4727********7323 | 634961 | 10/10/12 |
| SIRIZZOTTI, NIC, | A3-11042 | R | 48.65 | 4655********6066 | 299173 | 10/10/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 125.00 |
| 2 | Visa | 83.53 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 208.53 |