Subject: Contribution: Donate to help Democrats (new abroad) / Neil Nockert / 30.00 USD
From: Contribution <[email-masked]>
To: <[email-masked]>, <[email-masked]>, <[email-masked]>
Date: Fri, 20 May 2016 11:01:24 -0400

CONTRIBUTION DATA
-----------------
            Page: Donate to help Democrats (new abroad)
            Type: One-time
    Total Amount: $30.00
      First Name: Neil
       Last Name: Nockert
         Address: Kulingvagen 28
                  Saltsjo-Boo, Stockholm 13231
                  SE
           Phone: 7471513
           Email: [email-masked]
        Employer: -
Employer Address: 
                  ,  
                  US
      Occupation: Security Officer
    Payment Type: MasterCard
       Account #: 1240
   Transaction #: %%TransactionId%%
       User Id #: %%UserId%%
Contribution Key: IIB9zgY74oFUkyQnvY

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: 504892458

GENERAL INFORMATION
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      Submit Date: Fri, 20 May 2016 10:58:53 -0400
           Status: Under Review
Client IP Address: 213.114.235.246
   Client Browser: Mozilla/5.0 (Windows NT 6.3; WOW64; rv:46.0) Gecko/20100101 Firefox/46.0