Subject: Contribution: Donate to help Democrats (new abroad) / Margaret Shirley / 10.00 USD
From: Contribution <[email-masked]>
To: <[email-masked]>, <[email-masked]>, <[email-masked]>
Date: Sat, 30 Apr 2016 19:53:17 -0400

CONTRIBUTION DATA
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            Page: Donate to help Democrats (new abroad)
            Type: One-time
    Total Amount: $10.00
      First Name: Margaret
       Last Name: Shirley
         Address: PO Box 700, Lunenburg, NS, Canada, B0J 2C0
                  Lunenburg, Nova Scotia B0J2C0
                  CA
           Phone: 9026344191
           Email: [email-masked]
        Employer: Self
Employer Address: 
                  ,  
                  US
      Occupation: Physician
    Payment Type: MasterCard
       Account #: 1033
   Transaction #: %%TransactionId%%
       User Id #: %%UserId%%
Contribution Key: IHbZ5Gio0A2D4cnHO9

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: 502215868

GENERAL INFORMATION
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      Submit Date: Sat, 30 Apr 2016 19:53:15 -0400
           Status: Under Review
Client IP Address: 99.192.72.82
   Client Browser: Mozilla/5.0 (Macintosh; Intel Mac OS X 10_9_5) AppleWebKit/601.5.17 (KHTML, like Gecko) Version/9.1 Safari/537.86.5