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WREB Score Card Request Confirmation
Date: Tue, 23 Jun 2015 21:29:23 +0000
Score Card Request Confirmation
Thank you for your request!
Your credit card payment has been approved. Your Verisign Reference ID: AT0PD4AC466B
Print and keep for your records.
Exams Selected: Dental
Date of Request: 6/23/2015
Billing Information
Name at Exam
Karyna Shuliak
Curr leir^re
City/State/Zip
New York, NY 10065
Phone Number
Email Address
Exam Year
2015
Requested Exam Information Is to Be Sent To
Dental Board of California
Address To Send To
Total y
$130.00
Success Card $30.00
/2
0 Individual Performance Report(detailed numeric scores) $30.00
California Dental Exam Non-Failure Verivfication(California Only) $50.00
/2
0California Dental Hygiene Exam History(California Only) $75.00
0 LA Licensure (Never Taken WREB) Letter $50.00
Certificate of Passing $50.00
la
0 Dental Hygiene Summary Profile Sheet(unsuccessful candidates only) $75.00
0 Exam Content Explanation(does NOT include scores) $50.00
0 Expedited Shipping $50.00
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EFTA00530469
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ℹ️ Document Details
SHA-256
d84506abfde1c3bf9a8f16f9bc97c9d35ce527579dab1dbd4e1cbf4bf39cc729
Bates Number
EFTA00530469
Dataset
DataSet-9
Document Type
document
Pages
2
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