| 09/26/2012 |
| 08:26:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHAMBERLAIN, TE, | LZ-003755 | R | 11.80 | 4427********6275 | 5I8FK9 | 09/26/12 |
| MASCIOTRA, CATH, | LZ-004079 | R | 54.50 | 5178********6454 | 026960 | 09/26/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 54.50 |
| 1 | Visa | 11.80 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 66.30 |