Centers for Medicare and Medicaid Services Forms, 8 1/2 x...
$21.99
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR...
Sales Form for Registers, 5 1/2 x 8 1/2, Blue Print Three-Part, 500 Forms
$75.99
Tax excluded
Space for customer's order number, date, name and address, and detailed sales information. Fits Rediform® register RED-170-58, plus Ennis, Sturgis, Hano and similar models.
RED5558BT
48 Items
Data sheet
- Punching
- Top, Two-Hole
- Paper Color(s)
- Blue
- Paper Color(s)
- White
- Global Product Type
- Forms-Sales & Work Order
- Pre-Consumer Recycled Content Percent
- 0%
- Post-Consumer Recycled Content Percent
- 0%
- Total Recycled Content Percent
- 0%
- Form Size
- 5 1/2 x 8 1/2
- Forms Per Page
- 1
- Number of Entry Lines
- 15
- Form Quantity
- 500
- Layout
- One Form per Sheet
- Print and Ruling Color(s)
- Blue
- Numbering
- Preprinted at Bottom
- Numbering Color(s)
- Red
- Copy Types
- Carbonless Triplicate
- Copy Paper Color(s)
- Pink
- Copy Paper Color(s)
- Canary
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Fits Rediform® register RED-170-58, plus Ennis, Sturgis, Hano and similar models. Consecutively numbered in red. Two-hole punched. Blue-print triplicate copies. 15 lines.