Page 30 of hcfa cms 1500 health insurance business forms
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Dome Simple Weekly Bookkeeping Record, 8.75" x 11.25", Black (600)
Item #: 901-600
Size: 8.75"x11.25"
Printed on recycled paper.
Makes bookkeeping a snap
$24.99
Per each
Quill Brand® 4-Column Columnar Book, 80 Pages, Blue Marble (18848/26517)
Item #: 901-217745
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with four columns per page, quad-ruled
$25.99
Per each
Quill Brand® Special-Size 3 Part Carbonless Forms, 9-1/2x5-1/2", 1,000/CT (9353)
Item #: 901-710837
Use Quill Brand special-size multi-part carbonless forms when you need multiple copies of the same form
Size: 9-1/2x5-1/2"; 8-1/2x5-1/2" without the carrier strips
3-part forms: white top sheet, canary-colored second sheet and pink third sheet
$147.09
Per carton
National Brand Canvas Tuff Series Record Book, 7.63" x 12.13", Green, 150 Sheets/Book (A66300R)
Item #: 901-A66300R
Book for records and daily schedules
Canvas hardcover in green
Includes 300 numbered pages with blue ruling and margin
$68.99
1-6 each
Save 23%
$52.99
7+ each
Custom Cash Receipt Book, 4-to-a-page, Duplicate, 300 Sets/Book
Item #: 901-TCRB1142
4-Up
Duplicate
300 sets per book
National Brand Canvas Tuff Series Record Book, 7.63" x 12.13", Green, 75 Sheets/Book (A66150R)
Item #: 901-A66150R
Book for records and daily schedules
Canvas hardcover in green
Includes 150 numbered pages with blue ruling and margin
$39.99
1-3 each
Save 15%
$33.99
4+ each
Custom Personalized Medical Pads, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131131R
Use for notes or messages
4" W x 5-1/2" L
White 20# text stock; printed in black ink
TOPS™ Payroll Record Book, Weekly, 8 1/2" x 11", Blue (AFR50)
Item #: 901-448255
Comes in blue color and features poly cover
Dimensions: 8 1/2"H x 11"W
Binding type: Spiral
$16.99
Per each
Wilson Jones Ledger Paper, 8.5" x 11", Ivory, 100 Sheets/Box (W901-10)
Item #: 901-42979
Designed for use in minute books, plain ledger sheets are long-lasting and versatile
Includes 28 lbs. ivory paper sheets
Includes 100 unruled, unnumbered sheets per box
$182.99
1-2 box
Save 9%
$166.99
3+ box
Custom Pocket-Size Receipts, Booked, 2 Parts, 1 Color Printing, 6 3/4" x 3 3/8", 500/Pack
Item #: 901-D6912
Get the details: Receipt form features preprinted areas that document payment, payment method & account balance
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Imprint Color: Black
Rediform Visitor Book, 9.88" x 8.5", Burgundy, 64 Sheets/Book (57-803)
Item #: 901-57803Q
Keep track of visitors with this efficient visitor register book
High-quality hardcover in burgundy color
Includes 128 numbered pages of premium white paper with 14 lines per page
$59.99
1-2 each
Save 7%
$55.99
3+ each
Quill Brand® Columnar Book, 12-Columns, 80 Pages, Gray Marble (18852/26519)
Item #: 901-217976
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with 12 columns per page, quad-ruled
$17.99
1-2 each
Save 6%
$16.99
3+ each
Custom Carbonless Itemized Service Slips, 3-1/4" x 5", 100 Sheets per Pad
Item #: 901-QFW1304001
Self-duplicating; everything is printed on original and duplicate, including consecutive numbers
Pads are 6-5/8" W x 5" L; detached slips are 3-1/4" W x 5" L
White self-duplicating carbonless stock; pre-printed in black ink
Custom Work Orders - Side-Stub with Carbons, 3 Parts, 1 Color Printing, 11" X 8 1/2" ,500/Pk
Item #: 901-D2453
Perforated. You can send invoice section with or without detachable materials list, as needed
Durable: Last part is durable tag stock
Customer sign-off section: Includes preprinted section, for customer to sign-off on service/work as acceptable
Rediform Texhide Record Book, 500 Pages, Black (57151)
Item #: 901-57151
Book for records and daily schedules
Black leather-like cover with burgundy spine and corners
Includes 500 numbered pages with green and brown ruling
$105.99
1-2 each
Save 19%
$85.99
3+ each
Wilson Jones Foreman's Time Book, 4.25" x 6.8", Green, 36 Sheets/Book (S802)
Item #: 901-S802
Time book tracks each week and helps increase productivity, conveniently update your records even when you're out of the office
Stiff green pressboard cover
Includes 72 pages; tracks one week on two pages with 21 lines per page
$20.99
Per each
Custom Dental Extraction Instruction Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131161R
Use to convey instructions to patients
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Columnar Book, 6 Columns, 7.25" x 9.5", Blue Granite, 40 Sheets/Book (217752)
Item #: 901-217752
7 1/4" x 9 1/2"
80 pages per book
Quad ruled
$19.99
Per each
Saunders Snapak Recycled Aluminum Form Holder, Letter Size, Silver (10517)
Item #: 901-137109
Form holder provides functionality and solid support for documents
Letter-size clipboard - keep documents in place
Made of high-quality gray/silver aluminum for maximum durability
$52.99
Per each
Rediform Texhide Record Book, 7 7/8" x 10", Black, 80 Sheets/Book (56211)
Item #: 901-56211
Book for records and daily schedules
Black leather-like cover with burgundy spine and corners
Includes 160 numbered pages with green and brown ruling
$55.99
Per each
Posting File, For Forms Up To 7-1/2x9-1/2"
Item #: 901-31134
Large tray features 3 tilt plates for support
Sturdy metal construction with gray baked enamel finish
Holds forms up to 7-1/2Wx9-1/2Hx6"D, up to a 6" stack of forms
$212.99
1-2 each
Save 9%
$193.99
3+ each
Rediform Driver's Daily Log Book, 2 Part Carbon, 5 1/2" x 7 7/8", 31 Sets per Book
Item #: 901-421004
31 sets per book
2 part
Handy book format provides space to record off-duty, sleeper berth, driving and on-duty time
$8.49
Per each
Custom Classic, Compact Invoices 3 Parts, 1 Color Printing, 5 2/3" x 7", 500/Pack
Item #: 901-D1143
Compact, yet there's room to include all the information your customers need to pay promptly
Compact invoices are ideal for smaller orders
Consecutive numbering: These forms come with the option to have consecutive numbering printed on them
Custom Job Work Orders, Booked, 3 Parts, 1 Color Printing, 5" x 8", 500/Pack
Item #: 901-D6558B3
Manage accounts: High quality job work order forms record costs and make invoices easy
Get the details: Extra-large work description area, including 13 lines for detailed write-ups
Track customer acceptance: Signature line for customer authorization prevents disputes
