| 08/29/2012 |
| 06:08:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ANDERSEN, TONI, | QU-301144 | R | 39.99 | 5178********5930 | 02014Z | 08/29/12 |
| OSORIO, DARIUS, | QU-018625 | R | 47.00 | 4408********0479 | 271473 | 08/29/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.99 |
| 1 | Visa | 47.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 86.99 |