| 12/19/2012 |
| 07:07:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHARAF, CHRISTO, | UE-4893 | R | 34.00 | 5424********4526 | 33635P | 12/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 34.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.00 |