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TOPS® 59870R UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms®

TOPS®

UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms

Item: TOP59870R  Model: 59870R

UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms
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List Price :  $138.92
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Summary:
UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms  
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Brand: TOPS®
Model: 59870R
Part Number: TOP59870R
Color: Red
Description : Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.

Full Specifications of UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms (TOPS® 59870R)  
  • Global Product Type: Forms-Insurance Claim
  • Form Size: 8 1/2 x 11
  • Forms Per Page: 1
  • Form Quantity: 2500
  • Layout: One Form per Sheet
  • Printer Compatibility: Laser
  • Paper Stock: 20-lb.
  • Paper Color(s): Red;White
  • Print and Ruling Color(s): Red
  • Pre-Consumer Recycled Content Percent: 0%
  • Post-Consumer Recycled Content Percent: 0%
  • Total Recycled Content Percent: 0%
  • Special Features: For Laser Printers

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