| Transaction Details | |
|---|---|
| Report Year: | 2021 |
| Report Type: | M12 |
| Date: | 12/16/2021 |
| Amount: | $2,000.00 |
| Contributor: | MARIO E. JARDON |
| Address: | 2555 COLLINS AVE., 1010 |
| City: | MIAMI BEACH |
| State: | FL |
| Zip: | 33140- |
| Occupation/Business Type: | HEALTHCARE EXECUTIVE |
| Type: | CHE |
| Inkind Description: | |
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