3rd Quarter for NAT'L HEALTH CORP. PAC submitted on 10/12/2004

Beginning Balance

Receipts

Disbursements

Purpose	Amount
BANK FEES	$103.91

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
,		DONATIONS				07/16/2004	$1,000.00
BEHNEN , BOB 911 E PATTERSON KIRKSVILLE , MO 63501		CONTRIBUTION				08/03/2004	$300.00
BLACK , DIANE 819 PLANTATION BLVD. GALLATIN , TN 37066	C	CONTRIBUTION				07/21/2004	$1,000.00
BLUNT , MATT 12977 NORTH OUTER FORTY DR STE 201 CREVE COCUR , MO 63141		CONTRIBUTION				09/01/2004	$1,000.00
COLEMAN , KENT 14 PUBLIC SQUARE NORTH MURFREESBORO , TN 37130	C	CONTRIBUTION				09/01/2004	$2,500.00
DUBOIS , J. THOMAS 925 W. 7TH STREET COLUMBIA , TN 38401	C	CONTRIBUTION				07/21/2004	$5,000.00
FAIR , MIKE PO BOX 14632 GREENVILLE , SC 29610		CONTRIBUTION				09/13/2004	$1,000.00
FAITH , SALLY 1726 MUGGE RD ST CHARLES , MO 63303		CONTRIBUTION				08/03/2004	$600.00
FITZHUGH , CRAIG 135 S. ALPINE STREET RIPLEY , TN 38063	C	CONTRIBUTION				07/21/2004	$500.00
FOWLKES , JOE 8262 LEWISBURG HWY CORNERSVILLE , TN 37047	C	CONTRIBUTION				08/10/2004	$3,000.00
GRAVES , JO ANN 197 WOODLAKE DRIVE GALLATIN , TN 37066	C	CONTRIBUTION				07/19/2004	$1,000.00
HARGETT , TRE 6361 BRIERGATE BARTLETT , TN 38134	C	CONTRIBUTION				07/21/2004	$1,000.00
HERRON , ROY 142 WEST MAIN DRESDEN , TN 38225	C	CONTRIBUTION				08/17/2004	$5,000.00
HOOD , JOHN 402 OLYMPIA PLACE MURFREESBORO , TN 37130	C	CONTRIBUTION				09/13/2004	$3,000.00
KILBY , TOMMY P.O. BOX 656 WARTBURG , TN 37887	C	CONTRIBUTION				09/13/2004	$1,000.00
KILBY , TOMMY P.O. BOX 656 WARTBURG , TN 37887	C	CONTRIBUTION				07/21/2004	$500.00
KURITA , ROSALIND 211 DEERWOOD CLARKSVILLE , TN 37043	C	CONTRIBUTION				08/17/2004	$2,000.00
KYLE , JIM 100 PEABODY PLACE SUITE 1250 MEMPHIS , TN 38103	C	CONTRIBUTION				07/21/2004	$1,000.00
MCCORD , JOE 4504 MONTVALE ROAD MARYVILLE , TN 37803	C	CONTRIBUTION				09/13/2004	$250.00
MCDANIEL , STEVE 97 BATTLEGROUND DRIVE WILDERSVILLE , TN 38388	C	CONTRIBUTION				09/13/2004	$2,500.00
MCNALLY , RANDY 94 ROYAL TROON CIRCLE OAK RIDGE , TN 37830		CONTRIBUTION				09/13/2004	$5,000.00
MISSOURI HEALTH CARE ASSOC 236 METRO DR JEFFERSON CITY , MO 65109		CONTRIBUTION				07/19/2004	$50,000.00
MUMPOWER , JASON P. O. BOX 2221 BRISTOL , TN 37621	C	CONTRIBUTION				07/21/2004	$500.00
NORRIS , MARK 853 S. COLLIERVILLE-ARLINGTON RD. COLLIERVILLE , TN 38017	C	CONTRIBUTION				08/23/2004	$3,000.00
PERSON, JR. , CURTIS 5863 GARDENS REACH COVE MEMPHIS , TN 38120	C	CONTRIBUTION				09/01/2004	$1,500.00
RAAM PAAC PO BOX 158213 NASHVILLE , TN 37215		CONTRIBUTION				09/22/2004	$4,000.00
RAMSEY , RON 3311 HWY 126 BLOUNTVILLE , TN 37617	C	CONTRIBUTION				07/21/2004	$1,000.00
SARGENT, JR. , CHARLES 908 RIVERWOOD COURT FRANKLIN , TN 37069	C	CONTRIBUTION				09/13/2004	$2,500.00
TN CHAMBER OF COMM AND IND PAC 611 COMMERCE ST NASHVILLE , TN 37203		CONTRIBUTION				08/23/2004	$500.00
TRACY , JIM 102 NORTHWOOD AVE SHELBYVILLE , TN 37160	C	CONTRIBUTION				07/26/2004	$5,000.00
TRAIL , LARRY 1011 HOUSTON DRIVE MURFREESBORO , TN 37130	C	CONTRIBUTION				07/26/2004	$5,000.00
VIRGINIA HEALTHCARE ASSOC PAC 2112 WEST LEBANON AVE STE 200 RICHMOND , VA 23227		CONTRIBUTION				08/23/2004	$1,000.00
WILLIAMS , KENT 4205 STIRKS PL MARION , SC 29571		CONTRIBUTION				09/29/2004	$1,000.00

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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