| 04/30/2014 |
| 06:24:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARROLL, MATTHE, | A3-MEDICAL97 | R | 110.00 | 5491********9477 | 03063P | 04/30/14 |
| CRIST, MICHEAL, | A3-10020 | R | 58.46 | 4670********5496 | 602992 | 04/30/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 110.00 |
| 1 | Visa | 58.46 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 168.46 |