Transaction Detail

Team Shannon Jones Isadore (23464)

Transaction Information (Original)
Transaction ID	:	5865651	Transaction Date	:	09/29/2026
Transaction Type	:	Contribution	Due Date	:	10/06/2026 11:59:00 PM
Transaction Sub Type	:	Cash Contribution	Filed Date	:	10/06/2026 05:08:05 PM
Payment Method	:		Check	:
Amount	:	$1,000.00	Aggregate	:	$1,000.00
Interest Rate	:		Repayment Schedule	:
Description	:		Exam Letter Date	:	10/07/2026
Agent	:		Process Status	:	Complete
Payer of Personal Expenditure	:
Purpose	:

Address Book Information
Address Book Type	:	Business Entity
Name	:	Regence Blue Cross Blue Shield
Address	:	PO Box 1271 Portland OR 97207
Occupation	:
Employer Name	:		Occupation Letter Date	:

Other Information
Associations	:
In-Kind/Independent Expenditures	:
CoSigner Obligations	: