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 01/01/2011
to 06/30/2011

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
BJ Party Supplies
MTG   $430.96
Mijares Mexican Restaurant
MTG   $119.50
Office Depot
OFC   $487.85
Snookies Cookies
MTG   $205.55
Target
OFC   $394.31
US Postal Service
POS   $3,608.00
TOTAL $5,246.17