| 12/21/2011 |
| 07:22:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| POLENCHAR, DREW, | LZ-004221 | R | 177.00 | 4862********4347 | 00164A | 12/21/11 |
| REHKOP, ALEXIS, | LZ-003282 | R | 79.00 | 4356********9048 | 132530 | 12/21/11 |
| SHOFNER, STEPHA, | LZ-003343 | R | 158.00 | 4342********9232 | 689964 | 12/21/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 3 | Visa | 414.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 414.00 |