Ub04 Hospital Insurance Claim Form For Laser Printers, One-part (no Copies), 8.5 X 11, 2,500 Forms Total

by Tops
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1747811
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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.

Features

  • Printed To Government Printing Office Standards.
  • Ocr Ink For Scanning.
  • American Medical Association (ama) Approved Format.


Specifications

SKU1747811
Manufacturer Tops
MPN59870R
Length12.000
Width9.250
Height10.250
Weight26.00
Package Quantity2500
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