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								    DocuSign Envelope ID: C9644C86-249E-4564-9B95-9A39681C2643 
<br />psi 
<br />PSI Services LLC 
<br />611 N Brand Blvd 1Oth FL 
<br />Glendale, CA 91203 
<br />Tax ID # 20-5910717 
<br />Invoice 
<br />Date Invoice # 
<br />6/30/2023 1 04-22512444 
<br />Page 2 of 2 
<br />Qty 
<br />Item 
<br />Description 
<br />Rate 
<br />Amount 
<br />TCA- California HiSET Language Am -Reeding-Paper Based Test 
<br />1 
<br />HiSct Test Fees 
<br />Tat Data:06/132023, 110089510,14914, City OfSMMAm Ja0-PBT, 
<br />17.00 
<br />17.00 
<br />TCA - California HiSET Matbemetia -Paper Based Tat 
<br />1 
<br />HiSetTest Fees 
<br />Test Date: 06432023, H0093815, 14914, City of Santa Am Jail-PBT, 
<br />17.00 
<br />17.00 
<br />TCA - California NSET Social Studies- Paper Based Test 
<br />1 
<br />HiSaTest Fen 
<br />Tat Date:06/132023, H0095993, 14914, City of Sum Am Jail-PBT, 
<br />17.00 
<br />17.00 
<br />TCA - California HiSET Social Studies - Paper Based Tat 
<br />1 
<br />HiSet State Foes 
<br />Test Date:06/132023, H0095993, 14914, City of Santa Am Jail-PBT, 
<br />20.00 
<br />20.00 
<br />TCA -California HiSET Social Studies - Paper Based Test, State Fee 
<br />1 
<br />HisdTest Fees 
<br />Test Dole: 061132023, H0096004, 14914, City of Santa Ana Jail-PBT, 
<br />17.00 
<br />17.00 
<br />TCA-California HiSET Social SWdia - Paper Based Test 
<br />1 
<br />HiSet State Fees 
<br />Tat Data: 06/132023, H0096004, 14914, City of Santa Am Jail-PBT, 
<br />20.00 
<br />20.00 
<br />TCA - California MSET Social Studies - Paper Based Tat, State Fee 
<br />1 
<br />Met Test Pees 
<br />Test Data: 061132023, H0096008, 14914, City of Santa Ana Jail-PBT, 
<br />17.00 
<br />17.00 
<br />TCA - California HiSET Social Studies - Paper Based Test 
<br />1 
<br />HiSet State Fees 
<br />Test Date: 061132023, H0096008, 14914, City of SantaAna Jail-PBT, 
<br />20.00 
<br />20.00 
<br />TCA - Coif mfi, HiSET Social Studies - Paper Based Test, State Fee 
<br />1 
<br />HiSet Test Fees 
<br />Test Dete:06/132023, 110096988, 14914, City of Santa Am Jail-PBT, 
<br />1Z00 
<br />17.00 
<br />TCA - California IBSET Social 8eudia - Paper Based Test 
<br />1 
<br />HiSet State Fees 
<br />Tat Dole:06/13/2023, 110096988, 14914, City of Santa Am Jail-PBT, 
<br />20A0 
<br />20.00 
<br />TCA- California HiSET Social Studies - Popm Based Test, State Fee 
<br />1 
<br />HiSet Test Fees 
<br />Test Data: 06114/2023, 110096014, 14914, City of Santa Am Jail-PBT, 
<br />17.00 
<br />17.00 
<br />TCA - California HiSET Social Studies - Paper Based Test 
<br />1 
<br />HiSet State Fees 
<br />Test Date: O6114/2023, H0096014,14914, City 01Sanls,Am Jail-PBT, 
<br />2000 
<br />20.00 
<br />TCA - California HiSET Social Studies - Papa Based Tat, State Fee 
<br />1 
<br />HiSet Test Fees 
<br />Test Dole:06/142023, H0096019,14914, City of Santa Ana Jail-PBT, 
<br />17.00 
<br />17.00 
<br />TCA -California MET Social Studies -Paper Based Test 
<br />1 
<br />HiSet State Foes 
<br />Test Data: 06/14/=3, H0096019, 14914, City of Santa Am Ja0-PBT, 
<br />20.00 
<br />20.00 
<br />TCA - CalifenciaHiSET Social Studies - Paper Based Test, Stale Fee 
<br />1 
<br />HSat TestFees 
<br />Tat Data:06/152023, H0076109,14914, City of Santa Am Jail-PBT, 
<br />17.00 
<br />17-00 
<br />TCA - C:etfnmtaHiSET Language Arts -Reading - Paper Based Test 
<br />I 
<br />HiSet Test Fees 
<br />Tat Date: 06202023, H0075636,14914, City of Santa Ana Jail-PBT, 
<br />17.00 
<br />17.00 
<br />TCA - California HiSET Science- Paper Based Test 
<br />1 
<br />1ESe[Test Fees 
<br />Tat Dale: 06202023, 110093815,14914, City of Santa Am Jail-PBT, 
<br />17.00 
<br />17.00 
<br />TCA - California HiSET Science- Paper Based Test 
<br />1 
<br />HSetTest Fees 
<br />Tat Data:0620/2023, H0098327, 14914, City of Santa Ana Jail-PBT, 
<br />17.00 
<br />17.00 
<br />TCA - California MSET Mathematics - Paper Based Test 
<br />1 
<br />HiSet State pea 
<br />Teat Date: 062012023, H0098327, 14914, City of Santa Am Jail-PBT, 
<br />20.00 
<br />20.00 
<br />TCA- California HiSET Mathematics - Paper Based Test, State Fee 
<br />1 
<br />HiSet Test Fees 
<br />Tat Date:06/20/2023, 110098336,14914, City of Santa Ana Jail-PBT, 
<br />17.00 
<br />17.00 
<br />TCA -California HiSET Social Studies - Paper Based Test 
<br />I 
<br />HiSet State Fees 
<br />Test Date: 0620/2023, H0098336, 14914, City of Santa Ana Jail-PBT, 
<br />20.00 
<br />20.00 
<br />TCA -California HiSET Social Studies - Paper Based Test, State Fee 
<br />1 
<br />Met Test Fees 
<br />%t Data: 06222023, H0069458, 14914, City of Santa Ana Jail-PBT, 
<br />17.00 
<br />17.00 
<br />TCA -California HiSET Mathematics, - Papa Based Test 
<br />Subtotal 
<br />886.00 
<br />Shipping Cost (UPS Ground) 
<br />0.00 
<br />Total 
<br />$886.00 
<br />Please direct any billing questions or remittance advices to psibillingQpsionline.com 
<br />Our preferred payment method is ACH. 
<br />ACH Payments: 
<br />Bank Account#: 325000575595 
<br />Routing M 121000358 
<br />Cbeck payments can be mailed to: 
<br />PSI Services LLC 
<br />P.O. Box 7410937 
<br />Chicago, IL 60674-0937 
<br />
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