Contributions Details
| Transaction Details | |
|---|---|
| Report Year: | 2021 |
| Report Type: | M12 |
| Date: | 12/17/2021 |
| Amount: | $250.00 |
| Contributor: | FRACIS T. JANTZEN III |
| Address: | 17982 NW 9TH CT. |
| City: | PEMBROKE PINES |
| State: | Florida |
| Zip: | 33029- |
| Occupation/Business Type: | SERVICE CONSULTANT @ AVMED |
| Type: | CHE |
| Inkind Description: | |
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