Centers for Medicare and Medicaid Services Forms, 8 1/2 x...
$41.99
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR...
Purchase Order Book, 7 x 2 3/4, Two-Part Carbonless, 400 Sets/Book
$27.99
Tax excluded
Keep a bound copy for a permanent record. Stop card prevents write-through to other form sets. Consecutively numbered in red.
RED1L176
173 Items
Data sheet
- Special Features
- Carbonless Duplicate
- Binding
- Stapled
- Binding
- Side
- Paper Color(s)
- White
- Paper Color(s)
- Blue
- Global Product Type
- Forms-Sales & Work Order
- Cover Material(s)
- Flexible
- Pre-Consumer Recycled Content Percent
- 0%
- Post-Consumer Recycled Content Percent
- 0%
- Total Recycled Content Percent
- 0%
- Form Size
- 2 3/4 x 7
- Forms Per Page
- 4
- Number of Entry Lines
- 5
- Form Quantity
- 400
- Principal Heading(s)
- Purchase Order
- Layout
- Four Forms Down Page
- Print and Ruling Color(s)
- Blue
- Numbering
- Preprinted at Top
- Numbering
- Preprinted Listing Lines
- Numbering Color(s)
- Blue
- Numbering Color(s)
- Red
- Copy Types
- Carbonless Duplicate
- Copy Paper Color(s)
- Yellow
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Keep a bound copy for a permanent record. Stop card prevents write-through to other form sets. Consecutively numbered in red.