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4th Quarter for EYE M.D.S PAC submitted on 01/11/2005

Beginning Balance

$19,629.94

Receipts

Monetary Contributions, Unitemized
$100.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
ARRINDELL , EVERTON
345 23RD AVENUE N, SUITE 350
NASHVILLE , TN 37203
PHYSICIAN
SELF
07/14/2008 $1,000.00
BUSBEE , BRANDON
345 23RD AVENUE N, SUITE 350
NASHVILLE , TN 37203
PHYSICIAN
SELF
07/14/2008 $1,000.00
GETTELFINGER , THOMAS
6485 POPLAR AVENUE
MEMPHIS , TN 38119
PHYSICIAN
SELF
07/14/2008 $500.00
GROOS, JR. , ERICH
2400 PATTERSON STREET
NASHVILLE , TN 37203
PHYSICIAN
SELF
07/14/2008 $1,000.00
RANZ , DAVID
150 COLDSTREAM ROAD
MURFREESBORO , TN 37127
PHYSICIAN
VUMC
07/14/2008 $200.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$1,050.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$7.58
TOTAL RECEIPTS
$1,057.58

Disbursements

Expenditures, Unitemized
Purpose Amount
CREDIT CARD PROCESS $24.81
CREDIT CARD PROCESS $137.27
Expenditures, Itemized
$0.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$2,250.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$2,250.00

Ending Balance

ENDING BALANCE
$18,437.52


Outstanding Loans


TOTAL OUTSTANDING LOAN BALANCE
$0.00

In-Kind Contributions

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

Unitemized
$0.00
Itemized
$0.00
TOTAL IN-KIND CONTRIBUTIONS
$0.00

Obligations

Obligations are not included in the report ending balance.

Unitemized
$0.00
Itemized
$0.00
Obligations, Outstanding from Previous Reports
$0.00
TOTAL OBLIGATIONS OUTSTANDING
$0.00

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