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Saturday 6 September 2008
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$102.00
Tops 59870R ( TOP59870R ): UB04 Hospital Health Care Administration Insurance Claim Form. American Medical Association (AMA) approved format For filing claims with patientsÂ’ insurance carriers. Printed to Government Printing Office standards with OCR red
Columbian White Gummed 4 1/8 x 9 1/2 Inch Right-Hand-Window Business Envelopes 500 Count (CO175)
$31.29
Columbian CO175 ( WEVCO175 ): Insurance Form Envelopes 24-lb. white wove paper with Poly-Klear right-hand window. Gummed seal, security tint. 500 envelopes per box. [5 Boxes per carton.] #10 Size For most standard insurance forms. 1-1/8 x 4-1/2 window 1/2
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