Subject: Contribution: Donate to help Democrats (new abroad) / William Earnest / 25.00 USD
From: Contribution <[email-masked]>
To: <[email-masked]>, <[email-masked]>, <[email-masked]>
Date: Wed, 4 May 2016 16:27:45 -0400

CONTRIBUTION DATA
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            Page: Donate to help Democrats (new abroad)
            Type: One-time
    Total Amount: $25.00
      First Name: William
       Last Name: Earnest
         Address: 389 GREENSBORO DR
                  Centerville, OH 45459
                  US
           Phone: 9378250151
           Email: [email-masked]
        Employer: U.S.P.S.(disabled-retired)
Employer Address: 
                  ,  
                  US
      Occupation: City Lettercarrier
    Payment Type: Visa
       Account #: 3846
   Transaction #: %%TransactionId%%
       User Id #: %%UserId%%
Contribution Key: IHi-1fRH-M9UQbgEyi

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: 

GENERAL INFORMATION
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      Submit Date: Wed, 04 May 2016 16:27:27 -0400
           Status: Authorized
Client IP Address: 108.213.145.163
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