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Page 9 of adams receiving record materials stock requisition forms

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Custom Progress Notes, 8-1/4 x 10-3/4, 28# Ivory Stock, 250 Sheets per PackCustom Progress Notes, 8-1/4 x 10-3/4, 28# Ivory Stock, 250 Sheets per Pack
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Custom Progress Notes, 8-1/4" x 10-3/4", 28# Ivory Stock, 250 Sheets per Pack
Item #: 901-QFW2012101
Item #: 901-QFW2012101
Pricing details
For use in patient charts and files
8-1/4" W x 10-3/4" L
Ivory 28# ledger stock, pre-printed in black ink
$12.79
1 pack
($0.05/EACH)
Save 31%
$8.79
20+ pack
($0.04/EACH)
Customize
Earn 12 points
Free delivery w/ $25+
Sof-Form® Non-sterile Conforming Gauze Bandages; 75 L x 2 W, 96/PackSof-Form® Non-sterile Conforming Gauze Bandages; 75 L x 2 W, 96/Pack
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Sof-Form® Non-sterile Conforming Gauze Bandages; 75" L x 2" W, 96/Pack
Item #: 901-113612MED
(1)
Item #: 901-113612MED
Rayon/Polyester Material
Non-sterile
Latex-free
$30.99
Per carton
Add to cart
Earn 30 points
Free delivery
Dome Notary Public Record Book, 500-Entry, Red (880)Dome Notary Public Record Book, 500-Entry, Red (880)
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Dome Notary Public Record Book, 500-Entry, Red (880)
Item #: 901-880
(249)
Item #: 901-880
Easy-to-use, compliant, and comprehensive notarial record keeping system for households and individuals
Red cover for incredible look
Sewn and numbered pages for added security
$25.99
1-3 each
Save 15%
$21.99
4+ each
Add to cart
Earn 25 points
Free next-day delivery
Custom Personalized Medical Pads, 4 x 5-1/2, 100 Sheets per Pad
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Custom Personalized Medical Pads, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131131R
(1)
Item #: 901-QFN131131R
Pricing details
Use for notes or messages
4" W x 5-1/2" L
White 20# text stock; printed in black ink
$8.59
5-9 pad
($0.09/EACH)
Save 49%
$4.39
40+ pad
($0.04/EACH)
Customize
Earn 42 points
Free delivery w/ $25+
Custom Dental Appointment Excuse Slips, 4 x 5-1/2, 100 Sheets per Pad
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Custom Dental Appointment Excuse Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131421R
(1)
Item #: 901-QFN131421R
Pricing details
Excuse forms for dental appointments
4" W x 5-1/2" L
White 20# text stock; printed in black ink
$8.59
5-9 pad
($0.09/EACH)
Save 49%
$4.39
40+ pad
($0.04/EACH)
Customize
Earn 42 points
Free delivery w/ $25+
Custom All-Purpose Excuse Slips, 4 x 5-1/2, 100 Sheets per Pad
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Custom All-Purpose Excuse Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131521R
Item #: 901-QFN131521R
Pricing details
Excuse forms for work or school
4" W x 5-1/2" L
White 20# text stock; printed in black ink
$8.59
5-9 pad
($0.09/EACH)
Save 49%
$4.39
40+ pad
($0.04/EACH)
Customize
Earn 42 points
Free delivery w/ $25+
Rediform® Spiralbound Unnumbered Money Receipt Book, 2 3/4 x 7, Each (S16444W-CL)Rediform® Spiralbound Unnumbered Money Receipt Book, 2 3/4 x 7, Each (S16444W-CL)
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Rediform® Spiralbound Unnumbered Money Receipt Book, 2 3/4 x 7, Each (S16444W-CL)
Item #: 901-377382
(4)
Item #: 901-377382
Brand: Rediform®
Manufacturer: Rediform Office Products
Business Form Type: Receipts
$34.99
Per each
Add to cart
Earn 34 points
Free delivery
Custom Graph Paper, Standard 1/4 Grid, 1 Color Printing, Padded, 8 1/2 x 11, 500 Sheets /Pack
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Custom Graph Paper, Standard 1/4" Grid, 1 Color Printing, Padded, 8 1/2" x 11", 500 Sheets /Pack
Item #: 901-2051DQ
Item #: 901-2051DQ
Pricing details
Lines at top of each sheet to list project dates & details
Ruled in 1/4" gray grid
50 sheets per pad; 10 pads per pack of 500 sheets
$143.99
1 pack
Save 51%
$70.99
16+ pack
Customize
Earn 143 points
Free delivery
Staples Columnar Books, 100 Pages, Green, 2/Pack (217844ABF)
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Staples Columnar Books, 100 Pages, Green, 2/Pack (217844ABF)
Item #: 901-217844
(5)
Item #: 901-217844
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 4 columns
$22.69
Per pack
($11.35/EACH)
Add to cart
Earn 22 points
Free 1-2 day delivery w/ $25+
Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 18-lb., 2800 Sheets/Carton (ST489122/177172)Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 18-lb., 2800 Sheets/Carton (ST489122/177172)
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Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11", 18-lb., 2800 Sheets/Carton (ST489122/177172)
Item #: 901-710601
(8)
Item #: 901-710601
Business computer paper is excellent for making carbonless copies
Paper dimensions: 14.875"W x 11"L
Paper weight: 18 lbs.
$152.99
Per carton
Add to cart
Earn 152 points
Free delivery
Staples Ledger Binder, 200 Pages, Blue Marble (26520)
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Staples Ledger Binder, 200 Pages, Blue Marble (26520)
Item #: 901-296509
(64)
Item #: 901-296509
Ledger binder is an excellent choice for storing your important documents
Blue marbled cover and white bond paper
Includes 200 pages printed on front and back with green lines
$51.99
Per each
Add to cart
Earn 51 points
Free delivery
TOPS 3-Part Carbonless Bill of Lading, 11.44L x 8.5W, 50 Sets/Book (3846)
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TOPS 3-Part Carbonless Bill of Lading, 11.44"L x 8.5"W, 50 Sets/Book (3846)
Item #: 901-508637
(4)
Item #: 901-508637
Bill of lading form to ensure all your shipments arrive with the appropriate paperwork
Size: 11.44"L x 8.5"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$35.89
1-3 box
Save 22%
$27.99
4+ box
Add to cart
Earn 35 points
Free delivery
TOPS Paper Stock File Jackets, Extra Wide Letter Size, Manila, 20/Pack (TOP 3440)TOPS Paper Stock File Jackets, Extra Wide Letter Size, Manila, 20/Pack (TOP 3440)
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TOPS Paper Stock File Jackets, Extra Wide Letter Size, Manila, 20/Pack (TOP 3440)
Item #: 901-3440Q
(1)
Item #: 901-3440Q
Made of manila paper stock
Easily fits standard 9.5" x 11.75" documents and smaller items
20 pockets per pack
$36.39
Per pack
($1.82/EACH)
Add to cart
Earn 36 points
Free delivery
ComplyRight Self-Seal Tax Envelope, 11.63 x 9.63, White/Green, 50/Pack (PEV48)ComplyRight Self-Seal Tax Envelope, 11.63 x 9.63, White/Green, 50/Pack (PEV48)
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ComplyRight Self-Seal Tax Envelope, 11.63" x 9.63", White/Green, 50/Pack (PEV48)
Item #: 901-24588701
Item #: 901-24588701
Double-window multipurpose tax return envelope will dress up every tax return and report from your office
Dimensions: 11.63" x 9.63"
Made of paper in white with green accents
$35.99
Per each
Add to cart
Earn 35 points
Free delivery
Staples Columnar Books, 100 Pages, 6 Columns, Green, 2/Pack (217869)Staples Columnar Books, 100 Pages, 6 Columns, Green, 2/Pack (217869)
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Staples Columnar Books, 100 Pages, 6 Columns, Green, 2/Pack (217869)
Item #: 901-217869
(5)
Item #: 901-217869
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 6 columns
$26.99
Per pack
($13.50/EACH)
Add to cart
Earn 26 points
Free 1-2 day delivery
Staples Laser Form Double-Window Business Envelopes, White, Security-Tinted Gummed Closure, 9 x 4.2, 500/PackStaples Laser Form Double-Window Business Envelopes, White, Security-Tinted Gummed Closure, 9 x 4.2, 500/Pack
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Staples Laser Form Double-Window Business Envelopes, White, Security-Tinted Gummed Closure, 9" x 4.2", 500/Pack
Item #: 901-473949STP
(1)
Item #: 901-473949STP
Business envelopes are suitable for many mailing projects
Made from white 24 lb. paper for durability
These envelopes measure 4 1/5"H x 9"L in size, providing enough space for your mail
$49.39
Per box
($0.10/Envelope)
Add to cart
Earn 49 points
Free 1-2 day delivery
Custom Booked Deposit Tickets, Classic Design, 2-Part, Black ink only, 8-7/8 x 3-3/8, 4 Books/Pack, 150 Tickets/Pack
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Custom Booked Deposit Tickets, Classic Design, 2-Part, Black ink only, 8-7/8" x 3-3/8", 4 Books/Pack, 150 Tickets/Pack
Item #: 901-1000182
(16)
Item #: 901-1000182
Pricing details
Convenient! Booked format, printed with your name, address and account number
Industry-best deposit tickets meet or exceed all bank standards for MICR processing, with guaranteed compatibility on today's latest technologies
Accommodate 17 check entries on front, 34 check entries on the back of ply 1
$55.99
1 pack
($14.00/BOOK)
Save 39%
$33.99
16 pack
($8.50/BOOK)
Customize
Earn 55 points
Free delivery
Wilson Jones Ledger Paper, Balance Ledger, 9 1/4 x 11 7/8, Green, 100 Sheets (WLJGN2D)
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Wilson Jones Ledger Paper, Balance Ledger, 9 1/4" x 11 7/8", Green, 100 Sheets (WLJGN2D)
Item #: 901-GN2D
(5)
Item #: 901-GN2D
9 1/4" x 11 7/8"
100 sheets
Balance ledger
$51.39
Per pack
($0.51/EACH)
Add to cart
Earn 51 points
Free delivery
Quill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2, 3200 Sheets/CartonQuill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2, 3200 Sheets/Carton
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Quill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2", 3200 Sheets/Carton
Item #: 901-710833
(3)
Item #: 901-710833
Business paper is perfect for printing receipts that require two copies
Paper dimensions: 5.5"W x 9.5"L
Paper weight: 15 lbs.
$153.49
Per carton
Add to cart
Earn 153 points
Free delivery
Staples 13 Columns Columnar Book, 16.31W x 11H, Green (217893)
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Staples 13 Columns Columnar Book, 16.31"W x 11"H, Green (217893)
Item #: 901-217893
(4)
Item #: 901-217893
Green tinted paper
Includes 50 single-format pages with 13 columns
Overall dimensions: 16.31"W x 11"H
$27.49
Per each
Add to cart
Earn 27 points
Free 1-2 day delivery
Adams Employees Copies Cut Sheet 2025 Blank W-2 Tax Form, 4-Part, 50/Pack (BL1099-S)
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Adams Employee's Copies Cut Sheet 2025 Blank W-2 Tax Form, 4-Part, 50/Pack (BL1099-S)
Item #: 901-920002
(19)
Item #: 901-920002
Blank forms can be used for W-2 or 1099 tax forms
3-down style with perforations
Blank front and back
$17.79
1-7 pack
Save 3%
$17.19
8+ pack
Add to cart
Earn 17 points
Free delivery w/ $25+
Quill Brand® 20-lb. Bond Continuous Form Paper, 9-1/2x11, 1000/Ctn.
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Quill Brand® 20-lb. Bond Continuous Form Paper, 9-1/2x11", 1000/Ctn.
Item #: 901-710761
(6)
Item #: 901-710761
Reliable business paper is perfect for business use
Paper dimensions: 9.5"W x 11"L
Paper weight: 20 lbs.
$53.89
Per carton
($0.05/EACH)
Add to cart
Earn 53 points
Free delivery
Medical Arts Press® Single Copy Rx Blanks; Vertical, Alter-Proof
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Medical Arts Press® Single Copy Rx Blanks; Vertical, Alter-Proof
Item #: 901-16034
(11)
Item #: 901-16034
Tamper-resistant Rx pad features 5 security features; meets October 1st 2008 Medicaid Requirements
Alter-proof blue pattern background to ensure there are no erasures or modifications of information
Void Pantograph — the word "void" will appear when photocopied
See details
Free delivery w/ $25+
National Brand Canvas Tuff Series Record Book, 7.63 x 12.13, Green, 250 Sheets/Book (A66500R)National Brand Canvas Tuff Series Record Book, 7.63 x 12.13, Green, 250 Sheets/Book (A66500R)
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National Brand Canvas Tuff Series Record Book, 7.63" x 12.13", Green, 250 Sheets/Book (A66500R)
Item #: 901-A66500R
(7)
Item #: 901-A66500R
Book for records and daily schedules
Canvas hardcover in green
Includes 500 numbered pages with blue ruling and margin
$62.79
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