| Transaction Details | |
|---|---|
| Report Year: | 2015 |
| Report Type: | M12 |
| Date: | 12/15/2015 |
| Amount: | $10,000.00 |
| Contributor: | FLORIDA BLUE |
| Address: | PO BOX 2210 |
| City: | JACKSONVILLE |
| State: | FL |
| Zip: | 32203 |
| Occupation/Business Type: | HEALTH CARE |
| Type: | CHE |
| Inkind Description: | |
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