Page 21 of proposal 8 1 2x11 carbonless triplicate 50 loose form sets
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Tax Forms (158) -
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ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
Item #: 901-398024
Item #: 901-398024
Describes how medical information about patients may be used and disclosed
Includes a Tip Sheet in each package that explains the purpose of the form, relevant laws, definitions and do's and don'ts
Size: 8 1/2" x 11"
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
ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)
Item #: 901-24581404
Item #: 901-24581404
This CMS-1500 jumbo health care billing envelope helps reduce processing delays
500 envelopes per box
Form size: 9" x 12.5"
Adams Purchase Order Forms, 3-Part Book, 5 9/16" x 8 7/16", 50 per Pack (TC5831)
Item #: 901-196154
Item #: 901-196154
Reliable, complete record for company purchases
3-part carbonless purchase order book in white, canary, and pink paper sequence
Consecutively numbered within each book
TOPS 1-Part Petty Cash, 5" x 3.5", 50 Sets/Book (3008)
Item #: 901-745018
Item #: 901-745018
5" x 3 1/2"
50 forms
1 form per page
$39.99
1-2 pack
Save 23%
$30.99
3+ pack
Custom Carbonless Itemized Service Slips, 3-1/4" x 5", 100 Sheets per Pad
Item #: 901-QFW1303001
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 Carbonless Itemized Service and Appointment Slips, 3-1/4" x 5", 100 Sheets per Pad
Item #: 901-QFW1301501
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
TOPS™ Carbonless Weekly Time Sheet, 2-Part, 100/Pack (NC9507)
Item #: 901-644311
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® Sales Order Book, Ruled, 2-Part, 4 3/16" x 7 3/16"
Item #: 901-196097
Item #: 901-196097
50 forms
1 form per page
2-part; carbonless; White originals, Canary duplicates
Medical Arts Press® Progress Notes, No Imprint, 250/Pack (21757NP)
Item #: 901-21757NP
Item #: 901-21757NP
Type of form: Progress note
250 per pack
Size: 8 1/2" x 11"
TOPS Receipts, 2.75"L x 7.13"W, 100/Pack (46808)
Item #: 901-46808
Item #: 901-46808
Money receipt book is consecutively numbered for easy organization
Envelopes are not included
Business form size: 2.75"L x 7.13"W; sheet size: 10.88"L x 7.63"W
$26.99
1-2 each
Save 7%
$24.99
3+ each
Custom Service Orders, Road/Towing, Booked, Small Format 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D25253
Manage tasks: Small format business form simplifies paperwork at the shop or site with pre-printed checkboxes and itemization of charges
Track customer acceptance: Signature line for customer authorization prevents disputes
Stay organized: Bottom copy stays bound in towing receipt book for a permanent record; 50 sets per book
Custom Classic Design, Lined Small Format Invoices, 2 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D1082
Get the details: Includes 13 description lines on this lined form to record the invoice details
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Medical Arts Press Treatment Notes, Tooth #, Non-Imprinted, No Punch, 250/Pack (20560NP)
Item #: 901-20560NP
Item #: 901-20560NP
Type of form: Treatment note
250 per pack
Size: 8 1/2" x 11"
Medical Arts Press® Veterinary Animal Record Progress Notes, Narrow Ruled
Item #: 901-20475
Item #: 901-20475
Type of form: Veterinary progress note
250 per pack
Size: 8 1/2" x 11"
Adams Receipt Book, 7.19" x 2.75", White/Canary, 250 Sheets/Book, 5/Pack (DC2701)
Item #: 901-266890
Item #: 901-266890
Money and rent receipt book is consecutively numbered for easy organization
Business form size: 2.75"L x 7.19"W; detached: 2.75"L x 6.69"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$27.99
Per pack
($5.60/EACH)
Rediform® Spiralbound Unnumbered Money Receipt Book, 2 3/4 x 7, Each (S16444W-CL)
Item #: 901-377382
Item #: 901-377382
Brand: Rediform®
Manufacturer: Rediform Office Products
Business Form Type: Receipts
$34.99
Per each
Custom Service Orders, Road/Towing, Booked, Small Format 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D25252
Manage tasks: Small format business form simplifies paperwork at the shop or site with pre-printed checkboxes and itemization of charges
Track customer acceptance: Signature line for customer authorization prevents disputes
Stay organized: Bottom copy stays bound in towing receipt book for a permanent record; 50 sets per book
Alliance T4997SP, 2part, Carbonless, Tan, 15 Line, Guest Checks, Case of 2000
Item #: 901-1641003
Item #: 901-1641003
Tan
4.25" x 8.5
Case of 2000
Custom Small Lined Invoices, 3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D108T3
Get the details: Includes 13 description lines on this lined form to record the invoice details
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom HIPAA Privacy Practice Acknowledgment Forms, 8-1/2" x 11", 200 Sheets per Pack
Item #: 901-QFN155811R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
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
Adams 2-Part Carbonless Invoices, 8-1/2" x 7-7/16", 50 Sets/Book (NC2872-50)
Item #: 901-442798
Item #: 901-442798
2-part carbonless with a white, canary paper sequence
Ruled format
Space at top for company stamp
$34.99
Per pack
Xerox Revolution 8.5" x 11" Carbonless, White/Canary/Pink, 1670/Carton (3R12425)
Item #: 901-514316
Item #: 901-514316
Three-part straight (white, canary, and pink) carbonless paper is great for creating important forms
Size: 8.5"W x 11"H
Has a proprietary capsule control technology which reduces contamination and enhances image quality
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