| 06/26/2013 |
| 08:31:33 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOMEZ, AMPARO, | A3-MEDICAL399 | R | 89.00 | 5523********1490 | 02662Z | 06/26/13 |
| HANOON, NADIR, | A3-10592 | R | 129.00 | 6011********5808 | 02660B | 06/26/13 |
| NAJAR, TROY, | A3-10799 | R | 129.00 | 3715*******3004 | 149205 | 06/26/13 |
| SCRIBNER, ROBER, | A3-10602 | R | 129.00 | 5178********0967 | 03561Z | 06/26/13 |
| Count | Card Type | Total |
| 1 | American Express | 129.00 |
| 2 | MasterCard | 218.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 129.00 |
| 0 | Other | 0.00 |
| 476.00 |