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 10/19/2008
to 12/31/2008

Schedule G Detail (4 Records)
Payee, Creditor, or Recipient and Agent Expenditure
Code
(?) 		Description of Payment Amount Paid
NAME OF AGENT OR INDEPENDENT CONTRACTOR
US Bank
BJ Party Supplies
 OFC   $290.96
Office Depot
 OFC   $540.06
Trader Joe's
 OFC   $116.52
Trader Joe's
 OFC   $165.21
TOTAL $1,112.75