Page 36 of replacement superbill forms
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Custom Contractor Invoice - Itemized Invoice for Large Jobs, 2 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D2092
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo or custom logo
Imprint Color: Black
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 Graph Papers, Pro-Sketch, 1/8", Padded, 1 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D2071
Get the details: Lines at top of each sheet to list project dates & details
Stay organized: 50 sheets per pad; ruled in 1/8" non reproducing blue grid when copied
Numbering not available
Custom Work Orders, Carbon, Large Format, 3 Parts, 1 Color Printing, 8 1/2" X 11" ,500/Pack
Item #: 901-D2443
Last part is durable tag stock.
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo or custom logo
Custom Service Orders - with Claim Check and Carbons 3 Parts, 1 Color Printing, 4 1/4" x 9 1/4",500/Pack
Item #: 901-D3053
Customer signature area: Back side of last part has space for comments & Promissory Note for customers to sign
Handy: Detachable claim checks
Durable: Last part is durable tag stock
Custom Garage Repair Orders - Large with Side-Stub and Carbons, 4 Parts, 1 Color Printing, 11" X 8 1/2" ,500/Pack
Item #: 901-D6544
Durable: Last part is durable tag stock
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo or custom logo
ComplyRight Canada Federal and Province (English) - Subscription Service, Newfoundland & Labradaor (U1200FCANNL)
Item #: 901-1949310TFP
Laminated English Canadian Federal and Province posters with automatic updates
Includes one year of legal monitoring for 365 days of worry-free posting compliance
Service provides replacement posters for mandatory changes for 12 months, with free UPS delivery
$62.99
Per each
ComplyRight Kansas Job Application, Pack of 50 (A2179KS)
Item #: 901-1182885EDI
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$76.49
Per pack
ComplyRight West Virginia Job Application, Pack of 50 (A2179WV)
Item #: 901-1949687TFP
Written by Employment Attorneys to ensure compliance in all 50 states
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$63.99
Per each
Adesso Tru-Form Media Ergonomic Keyboard, Black (AKB-160UB)
Item #: 901-IM15GM059
Keyboard for enhance your productivity
Wired connectivity for accuracy and dependability
104 keys for improved typing speeds and accuracy
$49.99
Per each
Avery 4.75" Auto Park Tags, Manila, 500/Box (18670)
Item #: 901-903184
Sequentially numbered 1 to 500 in duplicate on top and bottom coupon.
"Retain this check" is printed in red on bottom only.
Reinforced patch with strong twine.
$51.99
Per box
Custom Insurance Assignment Release Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN142231R
Patient insurance coverage forms
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Classic Design, Lined Small Format Invoices, 4 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D1084
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 Small Lined Invoices, 4 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D108T4
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 Copy Statements, 5-1/2" x 6-3/4", 500 per Pack
Item #: 901-QFN1005X1R
Use to provide costs and charges to patients
5-1/2" W x 6-3/4" L - Flat
White 80# cover stock, printed in black ink
Custom Classic Design, Large Format Shipping Invoices,3 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D1063
Generous description area: 22 description lines
Convenient snapset format
Create clean records: Carbonless forms stay tightly aligned for clear, clean copies
Custom Service Stations Sales Books 2 Parts, 1 Color Printing, 3 3/8" x 5 1/8", 1000/Pack
Item #: 901-D512
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 9 lines enable even the biggest orders to fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record
Custom High Security Laser Middle Check, 1 Ply, 1 Color Printing, 8-1/2" x 11", 500/Pk
Item #: 901-SDLM12011C
Compatible with software from ACCPAC®, Microsoft® Business Solutions, Microsoft Dynamics™, Form Magic®, Peachtree®, Sage Software, Great Plains®, Red Wing® Software & many others
NEW Security Features! Anti-Copy Technology High Security Checks are made with technology to prevent most copiers from creating a usable copy
Safety Hologram: Multi-dimensional foil seal hot stamped to check stock cannot be photocopied and includes 7 security features
Custom Disability Certification Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN131011R
Certification of diability forms for patient use
5-1/2" W x 4" L
White 20# text stock; printed in black ink
Custom Work Orders - Side-Stub with Carbons, 2 Parts, 1 Color Printing, 11" X 8 1/2" ,500/Pack
Item #: 901-D2452
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
Boorum & Pease 38 Series Record Book, 7.63" x 9.63", Black/Red, 75 Sheets/Book (38-150-R)
Item #: 901-38150R
Book for records and daily schedules
Elegant black covers with red spine and corners
Includes 150 numbered pages
$64.99
1-2 each
Save 9%
$58.99
3+ each
Custom Booked Deposit Tickets, Classic Design, 2-Part, Black ink only, 8-7/8" x 3-3/8", 4 Books/Pack, 150 Tickets/Pack
Item #: 901-1000182
Convenient! Booked format, printed with your name, address and account number
Industry-best deposit tickets meet or exceed all bank standards for MICR processing, with guaranteed compatibility on today's latest technologies
Accommodate 17 check entries on front, 34 check entries on the back of ply 1
Custom Laser Top Checks, Unlined, 1 Ply, 1 Color Printing, Standard Check Color, 8-1/2" x 11", 500/Pk
Item #: 901-DLT1041S1C
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
2 blank tear-off vouchers have plenty of room to document transactions for you & your employee or vendor
Sheet format fits all standard laser & inkjet printers
Custom 1-Sided Pegboard Account Cards, 5-1/2" x 8-1/2", 110# Index Stock, 500 Cards per Pack
Item #: 901-QFN101351R
For use with a pegboard system
5-1/2" W x 8-1/2" L
White 80# cover stock, printed in black ink
