| 11/14/2012 |
| 08:47:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ELIAS, BILL, | LE-100932 | R | 61.63 | 4348********4899 | 494597 | 11/14/12 |
| POLZELLA, CAROL, | LE-100220 | R | 72.28 | 5580********2245 | 097940 | 11/14/12 |
| POLZELLA, DB PI, | LE-100223 | R | 248.00 | 5580********2245 | 097931 | 11/14/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 2 | MasterCard | 320.28 |
| 1 | Visa | 61.63 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 381.91 |