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Taxicab, Limousine & Paratransit Foundation

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	3200 Tower Oaks Boulevard Suite 220 Rockville, MD 20852
	(301) 984-5700
	info@tlpa.org

Date:	December 4, 2015
Donator:	Full Name Address City, State ZIP
Donation Type:	One-time
Donation Amount:	$100.00
Payment Method:	Credit Card
Payment Info:	Cardholder Name XXXX-XXXX-XXXX-1234 VISA