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 G
Payments Made by an Agent or Independent Contractor 		CALIFORNIA FORM
460
NAME OF FILER
Molina Officeholder Account 		I.D. NUMBER
962879
Statement Period
from 07/01/2014
to 12/31/2014

Schedule G Detail (6 Records)
Payee, Creditor, or Recipient and Agent Expenditure
Code
(?) 		Description of Payment Amount Paid
NAME OF AGENT OR INDEPENDENT CONTRACTOR
US Bank
Andre's House
 MTG   $752.10
Basin 141
 MTG   $100.00
El Caserio Restaurant
 MTG   $118.28
El Caserio Restaurant
 MTG   $1,925.25
McCormick Schmick
 MTG   $119.38
Yxta Cochina Mexicana
 MTG   $151.92
TOTAL $3,166.93