| 01/18/2013 |
| 08:50:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PSALATOVKA, TATYANA | 60-P10111 | R | 50.00 | 3713*******2010 | 157351 | 01/18/13 |
| Count | Card Type | Total |
| 1 | American Express | 50.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.00 |