Amended Annual Mid Year Supplemental (2007) for TENNESSEE AMBULATORY SURGERY CENTER PAC submitted on 07/24/2007

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
CHARNOCK , RYLAND 101 ROLLING MILL RD OLD HICKORY , TN 37138 CONTRACTOR SELF		07/04/2012	$500.00
NASHVILLE FIRE FIGHTERS LOCAL 140 COMMITTEE P/E 100 ARLINGTON AVENUE NASHVILLE , TN 37210	P	07/21/2012	$5,000.00
TENNESSEE LABORERS PAC 401 COMMERCE ST., SUITE 5300 NASHVILLE , TN 37219	P	07/12/2012	$2,500.00
TENNESSEE REALTORS PAC 901 19TH AVE SOUTH NASHVILLE , TN 37212	P	07/21/2012	$150.00

Disbursements

Purpose	Amount
CREDIT CARD FEES	$10.70
DECOR	$18.42
FOOD	$52.00
OFFICE SUPPLIES	$26.20
OFFICE SUPPLIES	$22.92

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
COFFEN , KATHLEEN 2864 PADDLE WHEEL DR NASHVILLE , TN 37204		STAFF				07/02/2012	$500.00
DECO WOW PO BOX 292285 NASHVILLE , TN 37229		T-SHIRTS				07/17/2012	$1,188.15
INK ON PAPER 700 INVERNES AVE, SUITE 108 NASHVILLE , TN 37204		PRINTING				07/16/2012	$267.66
PRINTING ETC... 1100 MENZIER NASHVILLE , TN 37210		PRINTING				07/11/2012	$680.63
STANT , COLE 2864 PADDLE WHEEL DR. NASHVILLE , TN 37204		STAFF				07/02/2012	$500.00
WILLIAMS , PHYLLIS 633 SWEETWATER CR OLD HICKORY , TN 37138		STAFF				07/02/2012	$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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