Annual Year End Supplemental (2011) for MID-SOUTH PAIN MANAGEMENT, P.C. submitted on 01/20/2012

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
MID-SOUTH PAIN MANAGEMENT, P.C. P. O. BOX 1226 FRANKLIN , TN 37065	P	01/09/2012	$250.00
MID-SOUTH PAIN MANAGEMENT, P.C. P. O. BOX 1226 FRANKLIN , TN 37065	P	12/16/2011	$1,000.00
MID-SOUTH PAIN MANAGEMENT, P.C. P. O. BOX 1226 FRANKLIN , TN 37065	P	11/02/2011	$250.00
MID-SOUTH PAIN MANAGEMENT, P.C. P. O. BOX 1226 FRANKLIN , TN 37065	P	10/20/2011	$500.00
MID-SOUTH PAIN MANAGEMENT, P.C. P. O. BOX 1226 FRANKLIN , TN 37065	P	09/26/2011	$1,400.00

Disbursements

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
FINNEY , LOWE P.O. BOX 1432 JACKSON , TN 38302	C	CONTRIBUTION				11/02/2011	$250.00
HILL , MATTHEW P. O. BOX 322 JONESBOROUGH , TN 37659	C	CONTRIBUTION				09/26/2011	$1,400.00
MONTGOMERY , RICHARD 1582 BROAD RIVER LANE SEVIERVILLE , TN 37876	C	CONTRIBUTION				01/09/2012	$250.00
OVERBEY , DOUG 1105 N. HERITAGE DR. MARYVILLE , TN 37803	C	CONTRIBUTION				12/16/2011	$1,000.00
SARGENT, JR. , CHARLES PO BOX 1515 FRANKLIN , TN 37065	C	CONTRIBUTION				10/20/2011	$500.00

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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