City of Los Angeles
Bureau of Engineering
BOE - Permit Case Management (PCM)
Transaction ID: 2021030731 (Paid)
Print Receipt
Description Qty@Price SubT
IMP BOND PROCESS FEE 1.00@$515.00 $515.00
Training and Equip. Surcharge 1.00@$36.05 $36.05
One Stop Surcharge 1.00@$15.45 $15.45
Subtotal $566.50
Grand Total $566.50
Tendered $566.50
Balance $0.00

Reference: Bond Ref. No. 20038

Credit Card Payment(s)

Date 10/18/2021 4:41:25 PM
Card Number ************3244
VISA
Status
APPROVAL
Type SALE
Amount$566.50
Service Fee (non-refundable)$15.30
Total Charge$581.80

I authorize City of Los Angeles to use the information above to charge my credit card account with account number ************3244 an amount of $581.80.

Credit card transactions will be assessed a 2.49% non-refundable service fee. This will appear as a second charge on your card statement.


The City reserves the right to issue a partial or full refund for this transaction. To request a refund, applicant has to submit a Claim for Refund.
Note: Some processing fees may not be refundable.

I Agree that I cannot reverse this charge and I agree to use the City's Claim for Refund process to request any refunds.


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