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 01/01/2009
to 06/30/2009

Schedule G Detail (5 Records)
Payee, Creditor, or Recipient and Agent Expenditure
Code
(?) 		Description of Payment Amount Paid
NAME OF AGENT OR INDEPENDENT CONTRACTOR
US Bank
Albertsons
 OFC   $106.72
Dominos Pizza
 MTG   $162.87
Julienne
 MTG CMP Lunch on 4-22-09 17-Staff & Political Dir-authorized  $399.62
Mijares Restaurant
 MTG CMP Lunch on 12-19-08 9-Staff including Political Dir-authorized  $120.48
Smart & Final
 OFC   $120.48
TOTAL $910.17