Subject: Contribution: Donate to help Democrats (new abroad) / Bennett Moase / 3.00 USD
From: Contribution <[email-masked]>
To: <[email-masked]>, <[email-masked]>, <[email-masked]>
Date: Sat, 21 May 2016 15:08:26 +0000

CONTRIBUTION DATA
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            Page: Donate to help Democrats (new abroad)
            Type: One-time
    Total Amount: $3.00
      First Name: Bennett
       Last Name: Moase
         Address: 77 Charles Street East #905
                  Toronto, Ontario M4Y2Z7
                  CA
           Phone: 4169282345
           Email: [email-masked]
        Employer: Disabled
Employer Address: 
                  ,  
                  US
      Occupation: Disabled
    Payment Type: Visa
       Account #: 5925
   Transaction #: %%TransactionId%%
       User Id #: %%UserId%%
Contribution Key: IID8DDGhxUYsTngd4j

COMPLIANCE DATA
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Check this box to confirm that the following statements are true and accurate:  I am a United States citizen or a permanent resident alien.  This contribution is not made from the general treasury funds of a corporation, labor organization or national bank. This contribution is not made from the treasury of an entity or person who is a federal contractor. This contribution is not made from the funds of a federally registered foreign agent. I am not a minor under the age of 16. The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution.: 1

CUSTOM FIELD DATA
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(Section header: "Additional Information")
Please enter your US Passport # or Green card # below: 531074845

GENERAL INFORMATION
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      Submit Date: Sat, 21 May 2016 15:04:46 +0000
           Status: Under Review
Client IP Address: 199.7.157.49
   Client Browser: Mozilla/5.0 (Linux; Android 5.1.1; SM-G530W Build/LMY47X) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/50.0.2661.89 Mobile Safari/537.36