Page 29 of replacement superbill forms
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Rediform Emerald Series Record Book, 7.31"W x 11.88"H, Green, 250 Sheets/Book (56151)
Item #: 901-56151Q
Record and protect information in this canvas hardcover account book
500 numbered pages, record blue ruling with margin, 40 lines per page
Overall dimensions: 7.31"W x 11.88"H
$37.99
1-2 each
Save 5%
$35.99
3+ each
ComplyRight™ Employee Hiring & Employment History Folder, Pack of 25 (A3310)
Item #: 901-2548997
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Ample space to store and keep employee hiring and employment records confidential
$101.99
Per each
Custom Carbonless Numbered White Receipt Books, 4-3/4" x 2-3/4", 500 Receipts per Book
Item #: 901-QFW1202001
Self-duplicating; everything is printed on original and duplicate
Book size is 11-1/2" W x 8-1/2" L; detached receipt size is 4-3/4" W x 2-3/4" L
White self-duplicating carbonless stock; pre-printed in black ink
ComplyRight Confidential Personnel Envelo-File, Legal Size, 25/Pack (A0731)
Item #: 901-2549007
Protects legally sensitive documents
Outside grid lets you record general employee information and benefits data directly on the folder
Attorney developed and approved to ensure 100% compliance
$167.99
1-3 pack
Save 9%
$152.99
4+ pack
Eureka® Mickey Hello Duplicate Notes, 4" x 6", Multicolored, 50 Forms/Pad (EU-863202)
Item #: 901-1111166
Size: 4" x 6"
Eureka® Mickey duplicate notes are two part carbonless forms that allow you to keep and retain records
Theme/design: Mickey
$10.09
Per each
Custom Carbonless Veterinarian Discharge Instructions, 5-1/2" x 8-1/2", 100 Sets per Pad
Item #: 901-QFW1609001
Self-duplicating; everything is printed on original and duplicate
5-1/2" W x 8-1/2" L
White self-duplicating carbonless stock; pre-printed in black ink
Custom Sales Slips, Classic Design, Large Format 2 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 500/Pack
Item #: 901-D812
Custom printed business forms, with time-saving features & expert personalization
16 lines for writing up larger sales
Carbonless 2- or 3-part forms stay tightly aligned for clear, clean copies
Custom 2-Sided Progress Notes, 8-1/2" x 11", 24# White Stock, 250 Sheets per Pack
Item #: 901-QFN117571R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
Custom Packing List, 3 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 250/Pack
Item #: 901-DRF66003
Efficient! Capture all required shipping information
Easy quality control: Identify all employees packing and checking
Get the details: 12 description lines
Wilson Jones Minute Record Book, 9.3"W x 11.6"H x 1.7"D, Red (W0396-11)
Item #: 901-507995
Red hand-bound imitation leather cover with gold-tooled spines
Overall dimensions: 9.3"W x 11.6"H x 1.7"D
Professional minute book protects confidential information and maintains organization of records
$420.99
1-2 each
Save 10%
$380.99
3+ each
Custom Snap Apart Sales Slips, 2 part, 7" x 4-1/4", 500 Sheets
Item #: 901-TGSCC6532
2-part carbonless
Sales slip measures 7"Hx4-1/4"W
500 loose sheets
Custom Multi-Purpose Sales Books, Colors Design, Medium Format, 2 Parts, 1 Color Printing, 4 3/16" x 7", 500/Pack
Item #: 901-D2509T2
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 12 lines provide ample room so orders can fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record; 50 sets per book
Custom Certificate of Professional Care Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131111R
For certification of care
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Snap Apart Sales Slips, 3 part, 7" x 4-1/4", 500 Sheets
Item #: 901-TGSCC6533
3-part carbonless
Sales slip measures 7"Hx4-1/4"W
500 loose sheets
Staples Ledger Binder, 200 Pages, Blue Marble (26520)
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
$44.59
Per each
Saunders A-Holder Form Holder, Aluminum (10017)
Item #: 901-AH8512
Form holder provides functionality and solid support for documents
Letter-size clipboard keeps documents in place
Made of high-quality aluminum
$31.99
Per each
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless- Custom
Item #: 901-13553
Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
Custom Graph Paper, Standard 1/4" Grid, 1 Color Printing, Padded, 8 1/2" x 11", 500 Sheets /Pack
Item #: 901-2051DQ
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
ComplyRight Employee Payroll & Tax Records Organizer, Pack of 25 (A0311)
Item #: 901-2549005
Package of 25 folders
Size: 11.75" x 9.5"
Capture important personnel information right on the folder
$87.99
Per each
Custom Veterinarian Spay/Neuter Certification Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN174801R
For patients use to certify sterilization of their pet
5-1/2" W x 4" L
White 20# text stock; printed in black ink
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Item #: 901-13377
Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
Belkin SoundForm USB-C/3.5mm Noise Canceling Over-Ear Headphones, Blue (AUD010FQBL)
Item #: 901-IM1YS8421
Belkin SoundForm Wired Noise Canceling Headphones
Volume-limited to 85 dB for safe listening
Built-in microphone for calls and online learning
$33.99
Per each
Custom Service Orders, Carbon, Small Format 3 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 500/Pack
Item #: 901-D3073
Custom printed business forms, with time-saving features & expert personalization
Signature line for customer authorization prevents disputes
Carbon-backed sets available in 2, 3 or 4 parts
Custom Laser Middle Check, 1 Ply, 1 Color Printing, Standard Check Color, 8-1/2" x 11", 500/Pk
Item #: 901-DLM1021S1C
Compatible with AccountMate®, ACCPAC®, BUSINESSWORKS™, Champion?, Cougar Mountain®, Form Magic®, Form Magic Deluxe®, Great Plains® Accounting Series, MAS90® & MAS200® software packages
Built-in check security trusted by 7,000 financial institutions nationwide, with features such as chemically sensitive paper, microprint border, erasure protection, security screen & warning box
Top & bottom tear-off vouchers include preprinted headings for a clear, detailed payment record
