| 09/25/2013 |
| 06:03:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROKUSEK, KAREN | LZ-004231 | 4 | 59.00 | 4147********4488 | 09516C | 09/25/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |