| 09/12/2012 |
| 06:01:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MONTOYA, THERES, | LZ-842107337 | R | 119.02 | 5109********7841 | H65897 | 09/12/12 |
| RILEY, SAMANTHA, | LZ-003361 | R | 64.90 | 4060********4018 | 063906 | 09/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 119.02 |
| 1 | Visa | 64.90 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 183.92 |