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DocuSign Envelope ID: C9644C86-249E-4564-9B95-9A39681C2643 Lis 4 0 1 G 'pIT p <br />(DPSI <br />PSI Services LLC <br />611 N Brand Blvd 10th FL <br />Glendale, CA 91203 <br />Tax ID # 20-5910717 <br />SANTA ANA POLICE DEPARTMENT, ADULT JAIL-PBT <br />SANTA ANA POLICE DEPARTMENT, ADULT JAIL-PBT <br />62 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />Invoice <br />Date Invoice # <br />12/31/2022 T122276641 <br />Terms <br />Due, Date <br />PO # <br />Net 30 <br />1/30/2023 <br />Amount Due <br />Transaction ... <br />111.00 <br />City <br />Item <br />Description <br />Rate <br />Amount <br />1 <br />HiSet Test Fees <br />KGNRTPWF, City ofSmta Ana Jail-PBT, 12-Dec ,HO040650,TCA- <br />17.00 <br />17.00 <br />Cafifornia IRSET Language Arts - Reading - Paper Based Test <br />1 <br />HiSa Test Fees <br />KGNRTPWF, City ofSmla Ana Jail-PBT, 12-Dx,HO040667,TCA- <br />17.00 <br />17.00 <br />California HiSET language Arta - Reading (Spanish)- Paper Based Test <br />1 <br />HiSet Teat Fees <br />KGNRTPWF, City of Santa Am Jail-PBT, 12-Dec,H0040677,TCA- <br />17.00 <br />IZ00 <br />California HiSET Language Arts - Reeding -Papa Based Test <br />1 <br />Hisa Staa;Fea <br />KGNRTPWF, City ofSmta Am Jail-PBT, 12-Da, X0040650,TCA- <br />20.00 <br />20.00 <br />California HISET Language Arts - Reading- Paper Based Test-Statc Fee <br />t <br />1BSo State Fees <br />KGNRTPWF, City ofSanta Ana Jail-PBT, 12-Da,H0040667,TCA- <br />20.00 <br />20.00 <br />California FESET Language Arts - Reading (Spanish) - Papa Based <br />Test -State Fee <br />t <br />HiSet State Fees <br />KGNRTPWF, City of Santa Ana Jail-PBT, 12-Dee,H0040677,TCA- <br />20.00 <br />20.00 <br />Califamia IESET Language Arts - Reading -Papa Based Test -State Fee <br />Subtotal <br />111.00 <br />Shipping Cost (UPS Ground) <br />0.00 <br />Total <br />$111.00 <br />Please direct any billing questions or remittance adviees to psibilag@psionline.com <br />Our preferred payment method is ACH. <br />ACH Payments: <br />Bank Account#: 325000575595 <br />Routing #: 121000358 <br />Check payments can he mailed to: <br />PSI Services LLC <br />P.O. Box 7410937 <br />Chicago, IL 60674-0937 <br />