Subject: Contribution: Donate to help Democrats (new abroad) / Amnon Fisher / 250.00 USD
From: Contribution <[email-masked]>
To: <[email-masked]>, <[email-masked]>, <[email-masked]>
Date: Sat, 30 Apr 2016 02:50:06 -0400

CONTRIBUTION DATA
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            Page: Donate to help Democrats (new abroad)
            Type: One-time
    Total Amount: $250.00
      First Name: Amnon
       Last Name: Fisher
         Address: p.o.box 102
                  shavei zion,  25227
                  IL
           Phone: 972506396993
           Email: [email-masked]
        Employer: retired
Employer Address: 
                  ,  
                  US
      Occupation: scientist
    Payment Type: American Express
       Account #: 8738
   Transaction #: %%TransactionId%%
       User Id #: %%UserId%%
Contribution Key: IHaAjtXAoAJgVUhwgg

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: 545385105

GENERAL INFORMATION
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      Submit Date: Sat, 30 Apr 2016 02:50:06 -0400
           Status: Under Review
Client IP Address: 109.186.5.212
   Client Browser: Mozilla/5.0 (iPad; CPU OS 9_3_1 like Mac OS X) AppleWebKit/601.1.46 (KHTML, like Gecko) Version/9.0 Mobile/13E238 Safari/601.1