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Brand

Tabbies(4)

Iconex(3)

TOPS(2)

 
Special Features

Three-Part—Collated, 835 sets.(2)

Laser Printer Compatible(2)

One-Part—Coated front and back.(1)

Salmon Sheets(1)

Blue Sheets(1)

Green Sheets(1)

 
Machine Compatibility

Inkjet Printers; Laser Printers(3)

 
Principal Heading(s)

Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit(3)

1500 Health Insurance Claim Form(2)

 
Manufacturer Part Number

90771005(1)

90771007(1)

90771008(1)

14530(1)

14531(1)

14532(1)

14541(1)

50126RV(1)

50135RV(1)

 
Country of Origin

US(9)

 
Material(s)

Paper(1)

 
Sheet Size

8.5 x 11.63(3)

 
Shape

Rectangular(1)

 
Paper Color(s)

White(2)

Salmon(1)

Blue(1)

Green(1)

 
Sheets Per Unit

835(2)

2,500(1)

125(1)

 
Paper Finish

Coated(3)

 
Number of Parts

3(2)

1(1)

 
Label Size - text

8.5 x 11(1)

 
Adhesive

Permanent Self-Adhesive(1)

 
Brightness Rating (US)

85(1)

 
Label Color(s)

Blue(1)

 
Labels Per Unit

2,875(1)

 
Dated/Undated

Undated(5)

 
Printed Text Color(s)

Black(1)

 
Labels Per Sheet

23(1)

 
Printed Text

1 to 23; Patient Sign-In/Registro del paciente(1)

 
Border Color(s)

Blue(1)

 
Sheet (W x L)

8.5 X 11(1)

 
Form Size

8.5 x 11.63(3)

8.5 x 11(2)

 
Forms Per Page

1(5)

 
Print and Ruling Color(s)

Black(3)

OCR Red(2)

 
Copy Types

Two-Part Carbon(3)

One-Part (No Copies)(2)

 
Number of Entry Lines

23(3)

 
Numbering Color(s)

Black(3)

 
Print Color(s)

Black(3)

 
Paper Stock

20 lb Bond(2)

 
 
 
 

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