Subject: Contribution: Donate to help Democrats (new abroad) / Deborah Forster / 100.00 USD
From: Contribution <[email-masked]>
To: <[email-masked]>, <[email-masked]>, <[email-masked]>
Date: Wed, 4 May 2016 03:19:16 -0400

CONTRIBUTION DATA
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            Page: Donate to help Democrats (new abroad)
            Type: One-time
    Total Amount: $100.00
      First Name: Deborah
       Last Name: Forster
         Address: 190 Marlow Bottom Road
                  Marlow, Buckinghamshire SL73pr
                  GB
           Phone: 07771375930
           Email: [email-masked]
        Employer: Apps for Good
Employer Address: 
                  ,  
                  US
      Occupation: CEO
    Payment Type: American Express
       Account #: 1006
   Transaction #: %%TransactionId%%
       User Id #: %%UserId%%
Contribution Key: IHh6BH-b0gCvmG7IsP

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: 442582713

GENERAL INFORMATION
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      Submit Date: Wed, 04 May 2016 03:19:15 -0400
           Status: Under Review
Client IP Address: 82.20.214.124
   Client Browser: Mozilla/5.0 (Windows NT 10.0; WOW64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/50.0.2661.94 Safari/537.36