| 05/23/2012 |
| 08:49:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CZOSNOWSKI, DAW, | LZ-004528 | R | 45.14 | 4744********4214 | 154325 | 05/23/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 45.14 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 45.14 |