| 10/22/2014 |
| 09:46:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MENDES, HECTOR, | A3-MEDICAL373 | R | 178.00 | 5145********5534 | 093245 | 10/22/14 |
| XENAKIS, ELLY, | A3-10984 | R | 27.05 | 5466********7718 | 10783P | 10/22/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 2 | MasterCard | 205.05 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 205.05 |