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 01/01/2014
to 06/30/2014

Schedule G Detail (13 Records)
Payee, Creditor, or Recipient and Agent Expenditure
Code
(?)
Description of Payment Amount Paid
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Uribe, Avianna
Corner Bakery
MTG   $199.62
NAME OF AGENT OR INDEPENDENT CONTRACTOR
US Bank
Beverages and More
MTG   $195.07
BJ Party Supplies
MTG   $308.20
Cheese Cake Factory
MTG Secretary's Day with Staff  $755.76
Donut Fiend
MTG   $165.60
Edible Arrangements
MTG   $111.00
FACEBOOK
WEB   $459.94
Factory Kitchen
MTG   $215.75
La Cabanita Restaurant
MTG   $353.77
Little Bear
MTG   $166.28
Office Depot
MTG   $592.06
Target
MTG   $592.06
U.S.P.O.
POS   $1,610.00
TOTAL $5,725.11