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
Mike Gin for LA County Supervisor 2016 		I.D. NUMBER
1375702
Statement Period
from 07/01/2016
to 12/31/2016

Schedule G Detail (1 Record)
Payee, Creditor, or Recipient and Agent Expenditure
Code
(?) 		Description of Payment Amount Paid
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Card Services
Conservation Corps of Long Beach
 CVC   $100.00
TOTAL $100.00