| 01/04/2013 |
| 05:45:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KIRBY, SAUNDRA, | A3-10132 | R | 115.71 | 4342********6274 | 730771 | 01/04/13 |
| RANGEL, MICHEAL, | A3-MEDICAL289 | R | 110.00 | 5438********9053 | H64480 | 01/04/13 |
| RODRIQUEZ, NORM, | A3-10827 | R | 97.36 | 4157********8748 | 053226 | 01/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 110.00 |
| 2 | Visa | 213.07 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 323.07 |