Page 17 of replacement superbill forms
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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
$105.19
Per pack
($10.52/PAD)
Adams 2-Part Carbonless Work Orders, 5.5625" x 8.4375", 10 Sets/Book, /Box (DC5805-10)
Item #: 901-DC580510
Sales orders book to keep accurate records
White pages to create originals and canary pages for copies
Pack of 10.
$123.19
1-2 pack
($12.32/EACH)
Save 26%
$89.99
3+ pack
($9.00/EACH)
Adams 2-Part Carbonless Receipt Book, 5.38" x 2.75", White/Canary, 50 Sheets/Pad (DC2501)
Item #: 901-DC2501
Money and rent receipt book is consecutively numbered for easy organization
Size: 2.75"L x 5.38"W; detached 2.75"L x 4.88"W
2-Part Carbonless forms for accurate record keeping
$7.59
1-5 each
Save 7%
$6.99
6+ each
Adams® Sales Order Book, Ruled, 2-Part, 4 3/16" x 7 3/16"
Item #: 901-196097
50 forms
1 form per page
2-part; carbonless; White originals, Canary duplicates
$14.89
1-6 each
Save 6%
$13.99
7+ each
TOPS 1-Part Petty Cash, 5" x 3.5", 50 Sets/Book (3008)
Item #: 901-745018
5" x 3 1/2"
50 forms
1 form per page
$38.19
1-2 pack
Save 24%
$28.99
3+ pack
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
$11.59
1-7 each
Save 5%
$10.99
8+ each
TOPS 3-Part Carbonless Purchase Requisitions, 8.38"L x 10.69"W, 50 Sets/Book (46147)
Item #: 901-388374
Purchase-order books are designed to help you write order memos in a clear manner
Business-form size: 8.38"L x 10.69"W; detached: 8.38"L x 10.19"W
3-Part Carbonless forms for accurate record keeping
$41.39
Per box
TOPS Receipts, 2.75"L x 7.13"W, 100/Pack (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
$25.29
1-2 each
Save 5%
$23.99
3+ each
ComplyRight Moistenable Glue Security Tinted Tax Envelope, White, 100/Pack (61611100)
Item #: 901-24431090
Double-window envelope accommodates 4-Up 1099-R (5175) forms.
Features a moisture/gum-seal flap.
Pack of 100 envelopes.
$45.69
Per each
Better Office 2-Part Carbonless Money/Rent Receipt Book, 7.63" x 10.88", 200 Sets/Book, 4 Books/Pack (66204-4PK)
Item #: 901-24558003
Money/rent receipt book is a convenient way to stay organized and track customer transactions in your business
Size: 7.63" x 10.88"
Each carbonless page contains four two-part sets of forms, featuring a white top sheet for recording each transaction and a bottom canary yellow sheet that captures written text from the top sheet
$74.39
1-2 pack
Save 22%
$57.99
3+ pack
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
$26.09
Per each
Medical Arts Press® Progress Notes, No Imprint, 250/Pack (21757NP)
Item #: 901-21757NP
Type of form: Progress note
250 per pack
Size: 8 1/2" x 11"
$48.89
Per pack
($0.20/EACH)
Rediform 2-Part Carbonless Purchase Requisitions, 7" x 2.7", 400 Sets/Book (RED1L176)
Item #: 901-1L176
Purchase order books are designed to help you write orders memos in a clear manner
Business form size: 7"L x 2.7"W
2-Part Carbonless forms for accurate record keeping
$60.49
Per each
TOPS 2-Part Carbonless Work Orders, 4.25"L x 7"W, 50 Sets/Book (46373)
Item #: 901-508541Q
This avoid verbal orders book provides a permanent record of instructions and warnings
Size: 4.25"L x 7"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$21.19
1-6 book
Save 5%
$19.99
7+ book
Medical Arts Press® Continuation Notes, White, No Punch Option
Item #: 901-20131NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
$58.39
1-3 pack
($0.12/EACH)
Save 19%
$46.99
4+ pack
($0.09/EACH)
Adams Job Invoices, 11.44"L x 8.5"W, 50 Sets/Pack (NC3817-50)
Item #: 901-NC381750
This job-invoice form is designed for service and repair businesses
Form size: 11.44"L x 8.5"W; detached: 10.94"L x 7.88"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$44.59
Per pack
Rediform 2-Part Carbonless Money Receipt Book, 2.75" x 7", White/Yellow, 200/Pack (8L806)
Item #: 901-8L806
Money-receipt book is consecutively numbered for easy organization
Business-form size: 2.75"L x 7"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$30.79
Per each
Adams 2-Part Carbonless Receipts, 2.75"L x 7.13"W, 200 Sets/Book (DC1182)
Item #: 901-DC1182
Money and rent receipt book is consecutively numbered for easy organization
Size: 2.75"L x 7.13"W; page size 11"L x 7.63"W
2-Part Carbonless forms for accurate record keeping
$24.19
1-5 each
Save 9%
$21.99
6+ each
Medical Arts Press® Veterinary Animal Record Progress Notes, Narrow Ruled
Item #: 901-20475
Type of form: Veterinary progress note
250 per pack
Size: 8 1/2" x 11"
$44.59
Per pack
($0.18/EACH)
Medical Arts Press® Progress Notes, Horizontal and Vertical ID, Ivory
Item #: 901-20121NP
Type of form: Progress note
250 per pack
Size: 8 1/4" x 10 3/4"
$61.59
Per pack
($0.25/EACH)
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #: 901-398026
Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
HIPAA compliant
Size: 8 1/2" x 11"
$84.99
1-2 pack
Save 23%
$64.99
3+ pack
Adams 3-Part Carbonless Invoices, 8.44"W x 5.56"L, 50 Sets/Book (TC5840)
Item #: 901-196170
Invoice book is great for the office or on the go
Form size: 8.44"W x 5.56"L
3-Part Carbonless forms for accurate record keeping
$13.79
Per each
Medical Arts Press® Progress Notes, Includes Name, Sex, Birthdate and Page Number
Item #: 901-20541NP
Type of form: Progress note
250 per pack
Size: 8 1/2" x 11"
$52.99
Per pack
($0.21/EACH)
Adams 1 Part Employee Personal Files, 20/Pack (9287ABF)
Item #: 901-9287
The employee personnel file folder is complete with space for any case
Number of parts: 1
Contains 20 per pack for bulk purchasing
$16.89
Per pack
($0.84/EACH)
