Page 37 of replacement superbill forms
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Custom Booked Deposit Tickets, Maximum Entry Format, 3-Part, Black ink only, 8-7/8" x 3-3/8", 6 Books/Pack, 150 Tickets/Pack
Item #: 901-1000583
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 28 check entries on front, 34 check entries on the back of ply 1
Custom Laser Middle Check, 1 Ply, 1 Color Printing, Standard Check Color, 8-1/2" x 11", 500/Pk
Item #: 901-DLM1451S1C
Compatible with Peachtree® Versions 2006 & Newer and many more
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
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
Custom Traveler, Business Size Portable Checks, 2 Ply/Duplicate, 1 Color Printing, 8.25" x 3", 40/Pack
Item #: 901-59000N2
Black ink imprint
Part 1: 24# Check StockPart 2: 22# White Stock
Check Size: 8-1/4" x 3"
Custom Booked Deposit Tickets, Classic Design, 3-Part, Black ink only, 8-7/8" x 3-3/8", 6 Books/Pack, 150 Tickets/Pack
Item #: 901-1000183
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 3-On-A-Page High Security Business Size Checks, Side-Tear Voucher, 1 Ply, 1 Color Printing, 8.25" x 3", 250/Pk
Item #: 901-53220DS1
Black ink imprint
25# Security Check Stock
Check Size: 8-1/4" x 3"Voucher Size: 4-11/16" x 3"
Custom 3-On-A-Page Compact Size Checks, Side-Tear Voucher, Standard Color, 1 Color Printing, 6" x 2.75", 250/Pk
Item #: 901-56300N1S
Black ink imprint
24# Check Stock
Check Size: 6" x 2-3/4"Voucher Size: 2-1/4" x 2-3/4"
Custom Carbonless Veterinarian Euthanasia Record, 5-1/2" x 8-1/2", 100 Sets per Pad
Item #: 901-QFW1748201
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 Books - Medium Classic, with Carbons, 2 Parts, 1 Color Printing, 4 3/16" x 7", 500/Pack
Item #: 901-D25012
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 Sales Books - Medium Classic, with Carbons, 3 Parts, 1 Color Printing, 4 3/16" x 7", 500/Pack
Item #: 901-D25013
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 Booked Deposit Tickets, Maximum Entry Format, 2-Part, Black ink only, 8-7/8" x 3-3/8", 4 Books/Pack, 150 Tickets/Pack
Item #: 901-1000582
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 28 check entries on front, 34 check entries on the back of ply 1
Custom 3-To-A-Page Laser Checks, Lined, 1 Ply, 1 Color Printing, Standard Check Color, 8-1/2" x 11", 300/Pack
Item #: 901-DLA1041S1C
Compatible with Quicken®, Quicken® Deluxe, Quicken® Home & Business, QuickBooks®, QuickBooks Pro® & Microsoft® Money, plus many other accounting 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
Save paper & toner (storage space, too) with 3-to-a-page design
Adesso Tru-Form Wired Keyboard, Black (AKB-450UB)
Item #: 901-IM19U0288
Membrane key switches are great for divisions like industrial controls and telecommunications systems. They offer a low profile, engaging typing and a longer lifespan.
USB connectivity for a easy connection with your Computer
Touchpad offers stable left-right clicks, scrolling, dragging, zooming and much more
$84.89
Per each
Custom Book Deposit Tickets, Personal Size, 1 Part, 6" x 3", 80/Pack
Item #: 901-51119N1
Black ink imprint
24# White
6" x 3"
Custom Booked Deposit Tickets, Quick Entry Format, 3-Part, Black ink only, 8-7/8" x 3-3/8", 6 Books/Pack, 150 Tickets/Pack
Item #: 901-1000503
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 3 entries on front, 34 check entries on the back of ply 1
Medical Arts Press Vet Cage Card, Provides a Record of Twice Daily Care, 3 x 5", 250/Pack (20353)
Item #: 901-20353
Tracks appetite, medications, stool, urine, and vomit twice daily over several days
Also records walks taken
250 per package
$24.19
Per pack
($0.10/EACH)
Custom Delivery Receipts Sets, 3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D50523
Time saver: Preprinted columns save time, ensure greater accuracy
Track customer acceptance: Signature line for customer authorization prevents disputes
Consecutively numbered for easy recordkeeping
Custom Disability Certification Slips, 8-1/2" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN132131R
For certification of care
8-1/2" W x 5-1/2" L
White 20# text stock; printed in black ink
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
$36.09
1-2 each
Save 5%
$33.99
3+ each
Blank Laser Bottom Check, 1 Part, 8 1/2" x 11", Blue, 500 Checks/Pack
Item #: 901-DLB8051BE
Designed to be used with software that prints the entire check including bank information and MICR numbering
Top tear-off vouchers give both you and payee a detailed payment record
Shrink wrapped in packages of 500 checks
$118.99
1 pack
($0.24/EACH)
Save 14%
$101.99
4+ pack
($0.20/EACH)
Custom Retail Sales Book, Classic Design, ALL SALES FINAL, 2 Parts, 1 Color Printing, 3 3/8" x 5 1/8", 500/Pack
Item #: 901-D50SW2A
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 9 lines provide ample room so orders can fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record
Medical Arts Press Vet Cage Card, Check Off Boxes for a Variety of Services, 3 x 5", 250/Pack (20397)
Item #: 901-20397
Also includes space to note dental work needed and vaccinations given
250 per package
Size: 3x5"
$30.79
Per pack
($0.12/EACH)
Custom High Security Laser Top Check, 2 Ply/Duplicate, 1 Color Printing, 8-1/2" x 11", 500/Pk
Item #: 901-SDLT10421C
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
Visible Security Features: Heat-sensitive ink, chemical-wash detection area and, true watermark
Custom Instruction Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN132171R
Use for patient care instructions
4" W x 5-1/2" L
White 20# text stock; printed in black ink
