| 05/16/2012 |
| 09:33:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TACURI, KLEVER, | QU-022407 | R | 79.98 | 4018********2319 | 264452 | 05/16/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.98 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.98 |