| 09/01/2013 |
| 07:53:06 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FRIED, KERRI ANNE | LZ-000917 | 1 | 99.00 | 5262********6974 | 842475 | 09/01/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 99.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |