Amended Pre-Primary for DELTA DENTAL OF TENNESSEE PAC submitted on 10/08/2014

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
DUNCAN , DR. EDDIE 1790 NORTH OCOEE STREET CLEVELAND , TN 37312		07/19/2004	$200.00
JACKIE EVANS TRUCKING 3845 WATERLEVEL HWY. CLEVELAND , TN 37323		07/09/2004	$500.00
MOORE , BILL 1253 CHATATA VALLEY ROAD CLEVELAND , TN 37323		07/07/2004	$200.00

Loan Source	Election Rec'd For	Date	Amount
Self-Endorsed	Primary	04/27/2004	$2,698.38

Disbursements

Purpose	Amount
BANK FEES	$10.05
FUNDRAISER	$75.00
OFFICE SUPPLIES	$71.30
POSTAGE	$9.29
PRINTING	$38.42
RESEARCH / POLLING	$20.00

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
BRADLEY NEWS WEEKLY 149 INMAN STREET EAST CLEVELAND , TN 37311		ADVERTISING					$691.20
CARROLL PRINTING COMPANY 180 1ST NE CLEVELAND , TN 37311		PRINTING					$1,275.45
CLEVELAND DAILY BANNER 1505 25TH STREET NW CLEVELAND , TN 37311		ADVERTISING					$1,764.90
KINGSWAY PRESS 2120 KEITH STREET NW CLEVELAND , TN 37311		PRINTING					$152.93
MBNA MASTERCARD CROSS OBERLIE 916 BYRD AVE NEENAH , WI 54956		SIGN RODS				06/24/2004	$154.16
STEVE KIRKPATRICK DESIGNS 1685 CLINGAN RIDGE DRIVE NW CLEVELAND , TN 37312		T-SHIRTS					$412.97
UNITED STATES POST OFFICE 1981 KEITH STREET NW CLEVELAND , TN 37311		POSTAGE					$782.00

Ending Balance

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Outstanding Loans

Loans	Beg Balance	Paid	End Balance*
Self-Endorsed	$0.00	$0.00	$2,698.38

In-Kind Contributions

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

Contributor	C/P	Details	Date	Amount
STONECIPHER , MARY 201 EMMETT AVE. CLEVELAND , TN 37311		ICE CREAM SOCIAL	07/03/2004	$175.00

Obligations

Obligations are not included in the report ending balance.

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