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
NOGUEZ ASSESSOR 2010 		I.D. NUMBER
1316104
Statement Period
from 07/01/2010
to 09/30/2010

Schedule G Detail (1 Record)
Payee, Creditor, or Recipient and Agent Expenditure
Code
(?) 		Description of Payment Amount Paid
NAME OF AGENT OR INDEPENDENT CONTRACTOR
American Express
Holiday Inn Hotels Resorts
 TRS   $247.50
TOTAL $247.50