Amended Pre-Primary for MID-SOUTH PAIN MANAGEMENT, P.C. submitted on 08/23/2012

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
BOSTON CONCESSION PO BOX 236 BANNER ELK , NC 28604		09/27/2006	$1,371.66

Disbursements

Purpose	Amount
POSTAGE	$39.00
book presented	$24.55

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
DIXIE BBQ COMPANY 3301 NORTH ROAN ST JOHNSON CITY , TN 37601		FOOD / BEVERAGE				07/29/2006	$615.94
ELIZABETHON ELECTRIC HATCHEN LANE ELIZABETHON , TN 37643		UTILITIES					$142.49
ELIZABETHTON STAR 300 N. SCYMORE ST ELIZABETHTON , TN 37643		ADVERTISING				09/22/2006	$212.40
ELIZABETHTON STAR 300 N. SCYMORE ST ELIZABETHTON , TN 37643		ADVERTISING				07/29/2006	$94.40
ELIZABETHTON STAR 300 N. SCYMORE ST ELIZABETHTON , TN 37643		ADVERTISING				07/29/2006	$94.40
EMBARQ P.O. BOX 7716 LOUDON , KY 40742		TELEPHONE					$118.59
MOODY , RICHARD PO BOX 24 BUTLER , TN 37640		RENT					$700.00
OAKS , A. 605 PARKWAY BLVD ELIZABETHON , TN 37643		TRAVEL				08/23/2006	$116.21
POSTMASTER 901 W ELK AVE ELIZABETHTON , TN 37643-9998		POSTAGE				09/20/2006	$112.23
POSTMASTER 901 W ELK AVE ELIZABETHTON , TN 37643-9998		POSTAGE				09/20/2006	$368.83
SYNDER SIGN CO. 2918 CREEKMORE DR JOHNSON CITY , TN 37601		SIGNS				08/22/2006	$104.03

Ending Balance

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Outstanding Loans

In-Kind Contributions

In-Kind Contributions are not included in the report ending balance.

Obligations

Obligations are not included in the report ending balance.

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