Subject: Contribution: Donate to help Democrats (new abroad) / Gary Johnson / 50.00 USD
From: Contribution <[email-masked]>
To: <[email-masked]>, <[email-masked]>, <[email-masked]>
Date: Mon, 9 May 2016 17:07:18 -0400

CONTRIBUTION DATA
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            Page: Donate to help Democrats (new abroad)
            Type: One-time
    Total Amount: $50.00
      First Name: Gary
       Last Name: Johnson
         Address: Calle 67 #396-A por Calle 34 y Calle 32, Colonia Centro
                  Merida, Yucatán 97000
                  MX
           Phone: 770 560 5630
           Email: [email-masked]
        Employer: Retired
Employer Address: 
                  ,  
                  US
      Occupation: Retired
    Payment Type: Visa
       Account #: 9075
   Transaction #: %%TransactionId%%
       User Id #: %%UserId%%
Contribution Key: IHs28KpuDERuIH2erF

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: 461051905

GENERAL INFORMATION
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      Submit Date: Mon, 09 May 2016 17:07:05 -0400
           Status: Under Review
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