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ABFCMS1500L2V Health Insurance Claim Form, Laser, 250/PK

Adams

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MSRP: $38.59
$23.46
(You save $15.13 )
ABFCMS1500L2V Health Insurance Claim Form, Laser, 250/PK
SKU:
ABFCMS1500L2V
UPC:
87958150025
Weight:
2.65 LBS
Minimum Purchase:
2 units
Shipping:
Free Shipping
Note:
Must purchase in multiples of 2
-:
Provides clear and concise way to bid on jobs
50 sets per book
Consecutively numbered within each book
Space at top for company stamp"
Color:
White
Weight:
0.83
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Product Overview

Approved by CMS, NUCC and OMB. Printed in OCR Red for scanning. Laser format. 250 PG/PK Detached size: 8-1/2" W x 11" H. Version (02/12) for use beginning January 6, 2014.