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
MOLINA OFFICEHOLDER ACCOUNT 		I.D. NUMBER
962879
Statement Period
from 01/01/2012
to 06/30/2012

Schedule E Summary
1. Payments made this period of $100 or more : $8,175.93
2. Unitemized payments made this period of under $100 : $0.00
3. Total interest paid this period on loans: $0.00
4. Total payments made this period : $8,175.93

Schedule E Detail (16 Records) [Page: 1   2   All ]
Name and Address of Payee Code
(?)		 Description of Payment Amount Paid
ATT OFC  MONTHLY SERVICE FEE FOR FAX  $38.82
ATT OFC  MONTHLY SERVICE FEE FOR FAX  $39.00
ATT OFC  MONTHLY SERVICE FEE FOR FAX  $39.00
ATT OFC  MONTHLY SERVICE FEE FOR FAX  $38.93
ATT OFC  MONTHLY SERVICE FEE FOR FAX  $39.03
ATT OFC  MONTHLY SERVICE FEE FOR FAX  $38.91
CALIFORNIA FLORAL CO. OFC  CONDOLENCE ARRAGEMENT FOR COUNTY EMPLOYEE  $117.40
HAMA/CULLEN DESIGN OFC  DESIGN FEE FOR HOLIDAY CARD  $600.00
GERRY HERTZBERG OFC  REIMBURSEMENT FOR STAFF HOLIDAY PARTY ASSISTANCE  $150.00
HOUSE OF PRINTING OFC  PRINTING OF HOLIDAY CARD  $2,314.20
[Page: 1   2   All ]
SUBTOTAL $3,415.29