| 12/19/2012 |
| 07:04:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GALJOUR, TAMARA, | 3J-000175 | R | 27.50 | 5407********5599 | T8273Z | 12/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 27.50 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 27.50 |