| 01/30/2013 |
| 08:23:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ALEJOS, PATRICK, | A3-MEDICAL300 | R | 125.00 | 5516********9608 | 075922 | 01/30/13 |
| GALINDO, THERES, | A3-MEDICAL394 | R | 70.00 | 4266********3537 | 07440B | 01/30/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 125.00 |
| 1 | Visa | 70.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 195.00 |