Page 16 of hcfa cms 1500 health insurance business forms
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Rediform 3-Part Carbonless Receipts, 4-1/4" x 6-3/8", 50 Sets/Book (RED5L528)
Item #: 901-2658698
All forms contain space for important information essential to a business operation
Carbon coating on back of each original transfers to duplicate copies without having to transfer carbon sheets
Detachable
TOPS™ Carbonless Invoice Book, 2-Part, 50 Sheets/Book (D8740)
Item #: 901-356105
Carbonless Invoice book is perfect for the office or on the go
Dimensions: 0.38"H x 7.19"W x 8.38"L, 8.38" x 6.69" (detached form), 8.38" x 7.19" (sheet)
Color: White (primary page), canary (duplicate page), blue (ink)
ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9.25", 100/Pack (66662100)
Item #: 901-24431088
Double-window envelope accommodates W-2 forms.
Features a self-seal latex flap.
Pack of 100 envelopes.
TOPS 3-Part Carbonless Bill of Lading, 8.5"L x 7"W, 50 Sets/Book (3841)
Item #: 901-3841
Bill of lading form to ensure all your shipments arrive with the appropriate paperwork
Size: 8.5"L x 7.63"W; detached: 8.5"L x 7"W
3-Part Carbonless forms for accurate record keeping
Adams Contractor's Invoice Book , 3 Part, 50 Sets/Book (TC8122)
Item #: 901-487610
Carbonless Contractor Invoice form to note down work performed and additional charges
Dimensions: 0.5"H x 8.38"W x 11.44"L, 10.84" x 8.38" (detached form), 11.44" x 8.38" (sheet)
Color: White (primary page), pink (triplicate page), canary (duplicate page), blue (ink)
Adams 2-Part Carbonless Sales Orders, 5.63"L x 3.34"W, 50 Sets/Book, 10/Pack (DC3510)
Item #: 901-DC3510
General-purpose sales book is ideal for use when receipt or guest check needs to be written
Business form size: 5.63"L x 3.34"W; detached form size: 5.13"L x 3.34"W
2-Part Carbonless forms for accurate record keeping
Adams 2-Part Carbonless Purchase Requisitions, 8.44"L x 5.56"W, 50 Sets/Book (DC5831)
Item #: 901-DC5831
Keep a bound copy for a permanent record using this purchase requisitions
Business form size: 8.44"L x 5.56"W; detached form size: 5.56"L x 7.94"W
2-Part Carbonless forms for accurate record keeping
ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9.25", 50/Pack (6666150)
Item #: 901-24507911
Double-window envelope for W-2 tax form.
Features a moisture/gum-seal flap.
Pack of 50 envelopes.
TOPS™ Repair Order Book, 2-Part, 50 Sheets/Book (D5084)
Item #: 901-843516
Repair Order book is perfect for repair and general work jobs
Dimensions: 0.38"H x 8.44"W x 5.56"L, 7.94" x 5.56" (detached form), 5.56" x 8.44" (sheet)
Color: White (primary page), white (duplicate page), blue (ink)
TOPS 3-Part Carbonless Bill of Lading, 8.5"L x 7.44"W, 250 Sets/Book, /Box (L3841)
Item #: 901-508568
Bill of lading form to ensure all your shipments arrive with the appropriate paperwork
Size: 8.5"L x 7.44"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
TOPS 2-Part Carbonless Purchase Requisitions, 7.94"L x 5.56"W, 50 Sets/Book (46140)
Item #: 901-377687
Purchase order books are designed to help you write orders memos in a clear manner
Business form size: 7.94"L x 5.56"W; detached form size: 5.56"L x 7.94"W
2-Part Carbonless forms for accurate record keeping
Adams 2-Part Carbonless Sales Orders, 8.44"L x 5.56"W, 50 Sets/Book (DC5805)
Item #: 901-196113
Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 5.56"W x 8.44"L; detached: 5.56"W x 7.94"L
2-Part White/Canary Carbonless forms for accurate record keeping
Adams 2-Part Carbonless Purchase Requisitions, 8.44"L x 5.56"W, 50 Sets/Book, 10/Box (DC5831-10)
Item #: 901-DC583110
Keep a bound copy for a permanent record using this purchase requisitions
Business form size: 8.44"L x 5.56"W; detached form size: 7.94"L x 5.56"W
2-Part Carbonless forms for accurate record keeping
Adams 1-Part Carbonless Receipts, 5"L x 3.5"W, 50 Sets/Book, 12 (9672ABF)
Item #: 901-ABF9672
Petty cash receipt pad is designed for cash payouts
Business form size: 5"L x 3.5"W
Single form for ease of use
$21.99
1-3 pack
($1.83/PAD)
Save 18%
$17.99
4+ pack
($1.50/PAD)
TOPS™ Carbonless Weekly Time Sheet, 2-Part, 100/Pack (NC9507)
Item #: 901-644311
Carbonless Weekly time sheet is a neat and orderly way to track employee work hours
Dimensions: 0.83"H x 5.5"W x 9"L, 8.5" x 5.5" (detached form), 9" x 5.5" (sheet)
Color: White (primary page), canary (duplicate page), blue (ink)
Adams 3-Part Carbonless Packing Slips, 7.94"L x 5.56"W, 50 Sets/Book (T5082)
Item #: 901-355859
Packing-slip book is a great way to ensure all shipments contain the correct paperwork
Business-form size: 7.94"L x 5.56"W
3-Part Carbonless forms for accurate record keeping
Adams 3-Part Carbonless Bill of Lading, 8-1/2" x 7-7/16", 50 Sets/Book (9013)
Item #: 901-195941
Bill of Lading forms are carbonless snap sets
Three-part carbonless (all parts are white)
50 sets/pack
Adams 3-Part Carbonless Sales Orders, 10.69"L x 8.38"W, 50 Sets/Book (TC8100)
Item #: 901-301697
Purchase-order books are designed to help you write order and sales memos clearly
Business form size: 10.69"L x 8.38"W; detached form size: 10.19"L x 8.38"W
3-Part Carbonless forms for accurate record keeping
Adams 3-Part Carbonless Sales Orders, 4.19"L x 7.19"W, 50 Sets/Book, 10/Carton (TC4705-10)
Item #: 901-TC470510
Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 7.19"L x 4.19"W
3-Part Carbonless forms for accurate record keeping
TOPS 3-Part Carbonless Bill of Lading, 11.44"L x 8.5"W, 50 Sets/Book (3846)
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
TOPS® Proposal Book, Ruled, 2-Part, White/Canary, 11" x 8 3/8", 1/Ea
Item #: 901-2667640
11" x 8 3/8"
50 forms
1 form per page
Adams 3-Part Carbonless Sales Orders, 7.19"L x 4.19"W, 50 Sets/Book (TC4705)
Item #: 901-196105
Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 7.19"L x 4.19"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
Adams® Carbonless Receipt Book, 3" x 8", 2-Part, 200 Sets/Book (SC1182)
Item #: 901-SC1182
Rent receipt books for recording monthly financial payments
Carbonless paper creates white originals and canary duplicates
Four forms per page and 50 pages; 200 forms per book
TOPS Money/Rent Receipt Book, 5.25" x 11", White/Canary, 50 Sheets/Book (4161)
Item #: 901-745083
Use this receipt book for rent payments or any other type of payment
Original form is white with blue and red ink and canary duplicate with a black/white image
50 pages with four perforated two-part carbonless forms per page