| 12/19/2012 |
| 07:04:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROMANO, TARA, | 7E-988302040 | R | 49.00 | 5403********5380 | 608633 | 12/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 49.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |