| 09/18/2011 |
| 07:21:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MANRIGUE`Z, MARCO | BX-49-0069 | 2 | 45.00 | 5576********5369 | 003102 | 09/18/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 45.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 45.00 |