EFTA00530471.pdf
dataset_9 pdf 52.6 KB • Feb 3, 2026 • 2 pages
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WREB Score Card Request Confirmation
Date: Tue, 23 Jun 2015 21:34:46 +0000
Score Card Request Confirmation
Thank you for your request!
Your credit card payment has been approved. Your Verisign Reference ID: AP0PC1B2CAC4
Print and keep for your records.
Exams Selected: Dental
Date of Request: 6/23/2015
Billing Information
Name at Exam
Karyna Shuliak
Current Address
City/State/Zip
Phone Number
Email Address
Exam Year
2015
Requested Exam Information Is to Be Sent To
Karyna Shuliak
Addro« Tn Canti Tn
Total Payment
$210.00
INSuccess Card $30.00
MIndividual Performance Report(detailed numeric scores) $30.00
a California Dental Exam Non-Failure Verivfication(California Only) $50.00
0California Dental Hygiene Exam History(California Only) $75.00
0 LA Licensure (Never Taken WREB) Letter $50.00
Certificate of Passing $50.00
/2
0 Dental Hygiene Summary Profile Sheet(unsuccessful candidates only) $75.00
0 Exam Content Explanation(does NOT include scores) $50.00
/9 Expedited Shipping $50.00
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EFTA00530471
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EFTA00530472
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- Created
- Feb 3, 2026