Item #: 486076 |
Model #: CMS1500CV
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Images for Health Insurance Claim Form, 2-Part, Continuous, 100 Sets
Health Insurance Claim Form, 2-Part, Continuous, 100 Sets
Delivered by Tue, Apr 24
with Next-Day Delivery
$19.99
1-Hour Pick Up
$18.79
6% Savings
| Item Price | $19.99 |
| 1-Hour Pick Up Savings | -$1.20 |
Subtotal*
$18.79
100 Sets
*Price after savings
Auto Restock
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$18.99
5% Savings
| Item Price | $19.99 |
| Auto Restock Savings | -$1.00 |
Subtotal*
$18.99
100 Sets
*Price after savings
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Product Details
- 9-1/2" x 11"
- Ink print color on paper: OCR Red
- Carbonless Triplicate
19.99
19.99
https://www.staples-3p.com/s7/is/image/Staples/s0831098
00087958150001
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Health Insurance Claim Form, 2-Part, Continuous, 100 Sets
Supplies and Accessories
Product Description
- 9-1/2" x 11"
- Ink print color on paper: OCR Red
- Carbonless Triplicate
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Specifications
| HR Form Type | Health Insurance Claims |
| HR Form Pack Size | 100 |
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