| 11/21/2012 |
| 08:47:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GEORGE, TASHA, | LZ-601353454 | R | 109.00 | 6011********8971 | 02163R | 11/21/12 |
| LEACH, STACI, | LZ-004579 | R | 39.00 | 4266********2329 | 03337B | 11/21/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 1 | Discover | 109.00 |
| 0 | Other | 0.00 |
| 148.00 |