Amended 3rd Quarter for TENNESSEE ASSN OF NURSE ANESTHETISTS PAC submitted on 11/12/2012

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
DAVIS , LINCOLN P. O. BOX 350 JAMESTOWN , TN 38556		10/29/2004	$1,000.00
DAVIS , LINCOLN P. O. BOX 350 JAMESTOWN , TN 38556		10/29/2004	$1,000.00
MCKAMEY , WILLIAM 233 BLALOCK PINEY FLATS , TN 37686		12/31/2004	$10,000.00
STEPHENSON , BEAR 210 SEIVERS BLVD. CLINTON , TN 37716		11/02/2004	$150.00
SULLIVAN COUNTY DEMOCRATIC PARTY P.O. BOX 502 BLOUNTVILLE , TN 37617	P	10/27/2004	$1,000.00
TENNESSEE DEMOCRATIC PARTY 223 8TH AVENUE NORTH, SUITE 200 NASHVILLE , TN 37203	P	10/17/2004	$5,000.00
TENNESSEE PROFESSIONAL FIREFIGHTERS PAC PO BOX 3271 CLEVELAND , TN 37320-3271	P	10/29/2004	$1,000.00
WORKSPACE 402 E. MARKET ST. KINGSPORT , TN 37660		11/22/2004	$250.00

Disbursements

Purpose	Amount
OFFICE SUPPLIES	$115.58

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
BFI PRINTING P. O. BOX 549 BLUFF CITY , TN 37618		PRINTING					$602.25
FEATHERS , EARL L. 814 COBBLESTONE PL. KINGSPORT , TN 37660		OFFICE SUPPLIES					$256.63
FLETCHER & CROWLEY 1808 WEST END AVE. NASHVILLE , TN 37803		CONSULTING					$14,151.48
MCPHERSON , RON 125 MERMAN RD. KINGSPORT , TN 37663		RENT					$750.00
PASSINI , EMILY 2130 A SHAMDUE NASHVILLE , TN 37215		CONSULTING					$1,375.00
WORKSPACE INTERIORS, INC. 402 E. MARKET ST. KINGSPORT , TN 37660		RENT					$375.25

Loan Source	Payment
Self-Endorsed	$10,000.00

Ending Balance

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Outstanding Loans

Loans	Beg Balance	Paid	End Balance*
Self-Endorsed	$10,000.00	$10,000.00	$0.00

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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