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DocuSign Envelope ID: C9644C86-249E-4564-9B95-gA39681 C2643 <br />Invoice <br />psi <br />Date Invoice # <br />4/30/2023 T042376641 <br />PSI Services LLC <br />611 N Brand Blvd 1Oth FL <br />Glendale, CA 91203 <br />Page 2 of 2 <br />Tax ID # 20-5910717 <br />Qty <br />Item <br />Description <br />Rate <br />Amount <br />California HiSET Science- Paper Based Test <br />I <br />HiSa Test Fees <br />04-11-23, H0060616, KGNRTPWF, City of Seats A. Jail-PBT, TCA- <br />17.00 <br />17.00 <br />Califamia HiSET Science - Paper Based Test <br />I <br />HiSetTest Fecs <br />04-11-23, H0060621, KGNRTPWF, City afSantaAn. Jail-PBT, TCA- <br />17.00 <br />17.00 <br />Califomia MSET Science- Pape[ Based Teat <br />1 <br />HiSetTest Fees <br />04-11-23, H0068460, KGNRTPWF, City ofSadaAna Jail-PBT, TCA- <br />17.00 <br />17.00 <br />California MSET Science - Papa Based Test <br />1 <br />Bigot Teat Fees <br />04-I1-23, H0077163, KGNRTPWF, City of Seca Ana Jail-PBT, TCA- <br />17.00 <br />17.00 <br />California HiSET Social Studies -Paper Based Test <br />1 <br />Bigot Test Fees <br />04-I1-23, H00OM% KGNRTPWF, City of Same Ana Jail-PBT, TCA- <br />17.00 <br />17A0 <br />CeEfomiaH SET Language Arta -Reading (Spanish) -Paper Based Test <br />1 <br />Bigot Test Fees <br />04-I1-23, H0077293, KGNRTPWF, City of S®fa Ana Jail-PBT, TCA- <br />17.00 <br />17.00 <br />California HiSET Social Studies -Paper Based Test <br />1 <br />HiSet TestFm <br />04-I1-23, H0060604, KGNRTPWF, City of Sena A-Jail-PBT, TCA- <br />17.00 <br />17.00 <br />California HiSET Science - Paper Based Test <br />1 <br />HiSet Teat Fees <br />04-12-23, H0063188, KGNRTPWF, City of Seats Ana Jail-PBT, TCA- <br />17.00 <br />17.00 <br />California HiSET 1.mguagcArts -Reading (Spanish) - Paper Based Test <br />1 <br />HiSet Test Fees <br />04-12-23, H0063677, KGNRTPWF, City of Some Ana laii-PBT, TCA- <br />17.00 <br />17.00 <br />California HiSET language Arts -Reeding (Spanish) - Papa Based Test <br />1 <br />HiSet Saw Fees <br />Stale Fee, 04-07-23, H0076910, KGNRTPWF, City of Santa Am Jail-PBT, <br />20.00 <br />20.00 <br />TCA - CaliforniaHiSET Social Studies - Paper Based Test <br />1 <br />HiSct State Fees <br />State Fee, 04-10-23, H0075628, KGNRTPWF, City of Seats Ana Jail-PBT, <br />20.00 <br />20.00 <br />TCA - Califomia HiSET Social Studies - Papa Based Teat <br />1 <br />Hisetsaw Fees <br />Sate Fee,04-10-23, H0075643, KGNRTPWF, City of Santa Am Jail-PBT, <br />20.00 <br />20.00 <br />TCA - CaEamia HiSET Social Studies - Paper Based Tat <br />1 <br />HiSet Sate Fees <br />Sate Fee, 04-10-23, H0075646, KGNRTPWP, City of Santa Ana Jail-PBT, <br />20.00 <br />20.00 <br />TCA - California HiSET Social Studies - Papa Based Test <br />1 <br />HiSet Sate Fees <br />Saw Fee,04-10-23, H0075633, KGNRTPWF, City of Sam Ana Jail-PBT, <br />20.00 <br />20.00 <br />TCA - California HiSET Social Studies - Papa Based Test <br />1 <br />HiSet Saw Fees <br />Saw Fee, 04-10-23, H0075649, KGNRTPWF, City of Santa A. Jail-PBT, <br />20.00 <br />20.00 <br />TCA - California HiSET Social Studies - Papa Based Test <br />1 <br />HiSd State Fees <br />Sate Fee, 04-11-23, H0077163, KGNRTPWF, City of Some Ana Jail-PBT, <br />20.00 <br />20.00 <br />TCA-Califomis MSET Social Studies - Papa Based Test <br />1 <br />Bigot Saw Fees <br />Saw Fee, 04-11-23, H0077293, KGNRTPWF, City of Sam Ana Jail-PBT, <br />20.00 <br />20.00 <br />TCA -California MSET Social Studies - Paper Based Test <br />Subtotal 806.00 <br />Shipping Cost (UPS Ground) 0.00 <br />Total $806.00 <br />Please direct any billing questions or remittance advices to psibilling@psionline.com <br />Our preferred payment method is ACH. <br />ACH Payments: <br />Bank Account#: 325000575595 <br />Routing #: 121000358 <br />Check payments can be mailed to: <br />PSI Services LLC <br />P.O. Box 7410937 <br />Chicago, IL 60674-0937 <br />