| 01/30/2013 |
| 08:21:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIGMAN, DANIELL, | LZ-004154 | R | 11.80 | 4718********4376 | 800310 | 01/30/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 11.80 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 11.80 |