| 11/28/2012 |
| 08:48:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GAMBILL, CHARLE, | A3-MEDICAL-16 | R | 110.00 | 4694********9934 | 371118 | 11/28/12 |
| SAFARI, JOSH, | A3-10835 | R | 64.88 | 4727********7323 | 045041 | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 2 | Visa | 174.88 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 174.88 |