| 09/05/2012 |
| 05:56:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORTEGA, CELEST, | LZ-003555 | R | 40.96 | 5142********8267 | 254828 | 09/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 40.96 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 40.96 |