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3rd Quarter for THE JACKSON CLINIC PAC submitted on 10/12/2006

Beginning Balance

$20,955.45

Receipts

Monetary Contributions, Unitemized
$150.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$6,025.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$55.86
TOTAL RECEIPTS
$6,080.86

Disbursements

Expenditures, Unitemized
Purpose Amount
PAC REG FEE $100.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
WALKER , JEFF
1503 MARYMOUNT DR
FRANKLIN , TN 37067
CONTRIBUTION 08/28/2013 $2,500.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$8,157.50

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$8,157.50

Ending Balance

ENDING BALANCE
$18,878.81


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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