Subject: Contribution: Donate to help Democrats (new abroad) / george goode / 25.00 USD
From: Contribution <[email-masked]>
To: <[email-masked]>, <[email-masked]>, <[email-masked]>
Date: Tue, 24 May 2016 11:08:13 -0400

CONTRIBUTION DATA
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            Page: Donate to help Democrats (new abroad)
            Type: One-time
    Total Amount: $25.00
      First Name: george
       Last Name: goode
         Address: 28 Rue Franklin
                  69002 Lyon,  69002
                  FR
           Phone: 33478381526
           Email: [email-masked]
        Employer: Retired
Employer Address: 
                  ,  
                  US
      Occupation: Poet
    Payment Type: Visa
       Account #: 2184
   Transaction #: %%TransactionId%%
       User Id #: %%UserId%%
Contribution Key: IIJ1Q5TnKUX4oBaZMc

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: 506165141

GENERAL INFORMATION
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      Submit Date: Tue, 24 May 2016 11:05:07 -0400
           Status: Under Review
Client IP Address: 90.29.75.85
   Client Browser: Mozilla/5.0 (Macintosh; Intel Mac OS X 10.11; rv:46.0) Gecko/20100101 Firefox/46.0