Dean C. Logan
Registrar-Recorder/County Clerk

Department Headquarters
12400 Imperial Highway
Norwalk, California 90650

Los Angeles County Registrar-Recorder County Clerk
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Schedule E
Payments and Contributions Made (Other Than Loans)
CALIFORNIA FORM
460
NAME OF FILER
IPSEN 4 DA
I.D. NUMBER
1296031
Statement Period
from 07/01/2008
to 12/31/2008

Schedule E Summary
1. Payments made this period of $100 or more : $2,732.50
2. Unitemized payments made this period of under $100 : $9.00
3. Total interest paid this period on loans: $0.00
4. Total payments made this period : $2,741.50

Schedule E Detail (5 Records) [Page: 1 ]
Name and Address of Payee Code
(?)
Description of Payment Amount Paid
AMERICAN EXPRESS (see desc) No Credit Card Payees Over $100  $489.00
Mervin L. Evans CNS    $500.00
Fran Tunno Mills CMP    $200.00
Frontiers LIT    $514.50
InMagazine LIT    $1,029.00
[Page: 1 ]
SUBTOTAL $2,732.50