| 06/19/2013 |
| 06:57:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ALEJOS, PATRICK, | A3-MEDICAL300 | R | 125.00 | 5516********9608 | 054468 | 06/19/13 |
| SANCHEZ, JESUS, | A3-MEDICAL235 | R | 258.00 | 5461********9645 | 700491 | 06/19/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 2 | MasterCard | 383.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 383.00 |