CALIFORNIA. ERIC GARCETTi MAYOR. November 9, 2015 RE: REFUND DUE FROM SPECIAL EVENT PAYMENT

Size: px

Start display at page:

Download "CALIFORNIA. ERIC GARCETTi MAYOR. November 9, 2015 RE: REFUND DUE FROM SPECIAL EVENT PAYMENT"

Belinda Sutton
5 years ago
Views:

1 i-f-: f> s s ~ I 3,-:T 0 f y BOARD OF PUBLIC WORKS MEMBERS City of Los Angeles CALIFORNIA DEPARTMENT OF PUBLIC WORKS BUREAU OF STREET SERVICES KEVIN JAMES PRESIDENT MONICA RODRIGUEZ VICE PRESIDENT MATT SZABO PRESIDENT PRO TEMPORE MICHAEL R. DAVIS COMMISSIONER HEATHER MARIE REPENNING COMMISSIONER I,«NAZAR SO SAUCEDA Y; DIRECTOR JOSEPH CRUZ, ASST. DIRECTOR RON LORENZEN, ASST DIRECTOR 1149 S. BROADWAY, SUITE 400 LOS ANGELES, CA K ERIC GARCETTi MAYOR REQUESTS FOR SERVICE ~or~ (800) 996-CITY BSS.BOSS@lacity.org TDD: (213) FAX: (213) November 9, 2015 Rosie Esquivel 3208 Royal St Los Angeles, California Dear Event Sponsor, RE: REFUND DUE FROM SPECIAL EVENT PAYMENT The Bureau of Street Services has completed the assessment of the final costs of your EEC event, and we have determined you are entitled to a refund of $41, See the enclosed statement or the breakdown of your fees paid and the final costs for your August 22, 2015 event. Reference Number and Permit Number PR 01. All refund claims must be submitted to the Office of the City Clerk for processing within one year of the date of payment. In addition, please be advised that claims for refunds over $5000 must be notarized and may need Department Head and/or City Council approval before refunds can be issued. Please complete the enclosed Claim For Refund Form and mail the original, signed form with the enclosed materials (copies of your check and receipt, along with the statement) to: Office of the City Clerk; 200 North Spring Street; Room 395, City Hall; Los Angeles, CA After the completion of the processing of your claim, the Office of the City Controller will mail a refund check to the Claimant listed on the Refund Form. Should you have questions or concerns regarding this matter, please contact the Investigation and Enforcement Division at (213) NS/Gl lids Refund due master Lnelosure: statement/refund torm/copy of cheek & receipt AN EQUAL OPPORTUNITY AFFIRMATIVE ACTION EMPLOYER

2 v OS a,. -V* o^v^os :C jfjji jmj.xx* - i a. 'v m vt}?* CITY OF LOS ANGELES Bureau of Street Services Investigation & Enforcement Division Billed to: Rosie Esquivel 3208 Royal St Los Angeles California INVOICE Inv 03 Make check payable to CITY OF LOS ANGELES INVOICE DATE: DUE DATE: TOTAL COSTS: PAYMENTS: 11/09/ /09/ , , REFUND DUE: 41, ORGANIZATION Goldenvoice EVENT NAME EVENT DATE REFERENCE NUMBER FYF 8/22/ EVENT DETAILS FYF Music Festival Department Bureau Of Street Lighting Permit (est.) Service (est.) Permit (act.) Service (act.) Status led-investiqator , , DOT Meters LA Sanitation LARAP LARD , , LAFD LADBS ITA A r\r\ r> DOT Traffic u.uu 26, nn U.UU 23, DOT Special Operations DOT Sign Posting , Street Maintenance Subtotals: , , Total Actual: 161, ,704,57 Not involved

3 Payments & Council Credits Less: Date Check 8/20/2015 Reference Amount 161, Received By Stephanie McFaddin Total Payments & Credits: 161, Fees Fee Type: Change Fee Department led-investigator Amount Description Closure change Total Fees: PAYMENT OPTIONS: By Mail Payments can be delivered by courier service to our main office. The payment must be in the form of a check and a copy of the invoice must be included in the same envelope. The payment address is: City of Los Angeles Bureau of Street Services Investigations & Enforcement 1149 So. Broadway, Suite 350 Los Angeles, CA Contact: (213) Special Events Section Please ensure that the following information is printed on the check: 1. Payable to the City of Los Angeles. 2. Current address and telephone number. 3. Invoice number. In-Person Payments can be made in-person at our main office. Friendly staff will process walk-in payments in the form of a check, cash or money order. The location and business hours are: City of Los Angeles Bureau of Street Services Investigations & Enforcement 1149 So. Broadway, Suite 350 Los Angeles, CA Contact: (213) Special Events Section Monday through Friday (excluding holidays) 7:00 a.m. to 3:30 p.m.

4 * i mm Bureau of Street Y OF LOS At ircement Division INVC c Im Make cheek payable to CITY OF LOS ANGELES 0,00 ORGANIZATION Goldenvoiee EVENT NAME FYF 8/22/2015 EVENJ DETAILS... FYF Music Fesfivai Department Parmi'! i'acf,1. Service (est. ) Status Bureau Of Street Lighting,HH:.H7SHtgatof... 5,631,36 DOT Meters lot Invof LA Sanifatso? LARAP... Not Pivot. LAPQ i, AFD 127.3)72,00 LA.DBS DA DOT Traffic 26,793,80 D01..S go si o [ Cl gei ci Dvrs D 3!,Sig.n..Pgslin.a 1,366,40 Street Maintenance Subtotals: 160,863,56 Estimated Coats: ,56 Not involved Cits of Loo Angeles Dpt, of Puli He Works Bureau of St, Services ntv of LOS linseles HA. of Public forks Bureau of St, Services 08/20/2015 2*0iHl ( /2631 JEANNA $ City of Los linseles Dpt, of Public Works Bureau of St. Services /2632 JEANNA SE-LAPD $ /20/2015 2:05PM JEANNA SE-BSS SE-BSS SE-00I SIGH SE.DOflRIiFF SE--LAPB $312.0 $ $26/93.8 $ ITEMS 10 1,1 EOS IQ I OEMS 50,/^s.om rxfx fhpfk flioooo. OO ftim/ VtiA: 1 *1 PCS EON

5 CITY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS Bureau of Street Services Investigation & Enforcement DAILY CASH REPORT BSS-SSIED Receipts (Cash/Money Orders/Checks) by Revenue Source No. of Fund Dept Revenue Source Transactions Key Classification Receipts Total FYF Sub & Grants - One Stop Spl Events-BSS $ 6, Sub & Grants - One Stop Spl Events-BOS Sub & Grants - One Stop Spl Events-DOT Sub & Grants - One Stop Spl Events-B&S Sub & Grants - One Stop Spl Events-DWP Sub & Grants - One Stop Spl Events-R&P Sub & Grants - One Stop Spl Events-LAPD Sub & Grants - One Stop Spl Events-LAFD Sub & Grants - One Stop Spl Events-GSD Sub & Grants - One Stop Spl Events-BSL Sub & Grants - One Stop Spl Events-ASD Sub & Grants - One Stop Spl Events-ITA Subtotal 161, Credit Card Transactions Fund Dept Revenue Source Last 5 Digits of Bill Flag Payee Receipts Total Explanation Subtotal $ Public Work Trust Fund Fund Dept Revenue Source M.C.B.# Name & Address of Payer Amount Explanation $ Subtotal $ Page Total $161,275.56

6 O OF. R G live ll.c GoktefiVGKe 1710 UJO-rwo Bivd.. Suie SO i Lcji OaceOcs Cfl vuoid DATE vd after 90 OATS OG - _ - $ %. %> :'DOU ARS A1.1 *i KAHGO ssis Fsrgo Bank. M.A y; c fi G Uvs IIC - GokfenyOfce 7?00 4 Vt, 3f{T GO SbG 7 0

:ITY OF LOS ANGELES -

THERA G. BRADSHAW GENERAL MANAGER ASSISTANT GENERAL MANAGERS CLIFFORD K. ENG KAMTON M. JOE :ITY OF LOS ANGELES - CALIFORNIA INFORMATION TECHNOLOGY AGENCY ROOM 1400, CITY HALL EAST 200 NORTH MAIN STREET