| 03/19/2014 |
| 13:29:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| AMSBERRY, RUSSE, | A3-MEDICAL278 | R | 120.00 | 4856********7736 | 699117 | 03/19/14 |
| GAMBILL, CHARLE, | A3-10593 | R | 110.00 | 4342********2625 | 001800 | 03/19/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 2 | Visa | 230.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 230.00 |