| 11/28/2012 |
| 08:46:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| IORII, SYLVIA, | 3X-009329 | R | 108.90 | 5466********2246 | T2856B | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 108.90 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 108.90 |