Page 20 of replacement superbill forms
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Adams 2-Part Carbonless Sales Orders, 5.63"L x 3.34"W, 50 Sets/Book, 10/Pack (DC3510)
Item #: 901-DC3510
General-purpose sales book is ideal for use when receipt or guest check needs to be written
Business form size: 5.63"L x 3.34"W; detached form size: 5.13"L x 3.34"W
2-Part Carbonless forms for accurate record keeping
$24.79
1-2 pack
Save 3%
$23.99
3+ pack
Tabbies Patient Privacy Sign-In Sheets, 2-Part, 125/Pack (TAB14530)
Item #: 901-2678550
Confidentially sign in your patients with guest-check forms
Business-form size: 11.63"L x 8.5"W
2 Part Carbon
$73.99
Per pack
Adams 2-Part Carbonless Purchase Requisitions, 8.44"L x 5.56"W, 50 Sets/Book (DC5831)
Item #: 901-DC5831
Keep a bound copy for a permanent record using this purchase requisitions
Business form size: 8.44"L x 5.56"W; detached form size: 5.56"L x 7.94"W
2-Part Carbonless forms for accurate record keeping
$12.09
1-2 each
Save 4%
$11.59
3+ each
TOPS Job 3-Part Carbonless Work Orders, 8.62"L x 5.67"W, 50 Sets/Book (3868)
Item #: 901-3868
Job work-order forms designed to provide a space for work, costs, and totals
Business-form size: 8.62"L x 5.67"W
3-Part Carbonless forms for accurate record keeping
$32.99
1-4 pack
Save 3%
$31.99
5+ pack
ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)
Item #: 901-24581404
This CMS-1500 jumbo health care billing envelope helps reduce processing delays
500 envelopes per box
Form size: 9" x 12.5"
$141.99
Per each
TOPS 3-Part Carbonless Bill of Lading, 8.5"L x 7"W, 50 Sets/Book (3841)
Item #: 901-3841
Bill of lading form to ensure all your shipments arrive with the appropriate paperwork
Size: 8.5"L x 7.63"W; detached: 8.5"L x 7"W
3-Part Carbonless forms for accurate record keeping
$23.59
1-4 pack
Save 4%
$22.59
5+ pack
ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9.25", 25/Pack (6666225)
Item #: 901-24507914
Double-window envelope for 2-Up W-2 tax form.
Self-sealing for added convenience.
Pack of 25 envelopes.
$44.99
Per each
ComplyRight Moistenable Glue Security Tinted Double Window Tax Envelopes, 5 5/8" x 9", 50/Pack (1095CENV50)
Item #: 901-24507935
Double-window envelope for ACA 1095-C tax form.
Features a moisture/gum-seal flap.
Pack of 50 envelopes.
$57.99
Per each
ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9", 50/Pack (4444150)
Item #: 901-24507912
Double-window envelope for W-2 (5206/5208) tax form.
Features a moisture/gum-seal flap.
Pack of 50 envelopes.
$39.99
Per each
TOPS™ Carbonless Invoice Book, 2-Part, 50 Sheets/Book (D8740)
Item #: 901-356105
Carbonless Invoice book is perfect for the office or on the go
Dimensions: 0.38"H x 7.19"W x 8.38"L, 8.38" x 6.69" (detached form), 8.38" x 7.19" (sheet)
Color: White (primary page), canary (duplicate page), blue (ink)
$6.79
Per each
ComplyRight Self Seal Security Tinted Double-Window Tax Envelopes, 5 5/8" x 9", 50/Pack (444250)
Item #: 901-24507915
Double-window envelope for W-2 (5206/5208) tax form.
Self-sealing for added convenience.
Pack of 50 envelopes.
$49.99
Per each
ComplyRight Moistenable Glue Security Tinted Double-Window Tax Envelopes, 3 7/8" x 8.5", 50/Pack (3333150)
Item #: 901-24507948
Double-window envelope for W-2 (5210/5211) tax form.
Features a moisture/gum-seal flap.
Pack of 50 envelopes.
$50.99
Per each
Better Office 2-Part Carbonless Money/Rent Receipt Book, 7.63" x 10.88", 200 Sets/Book, 4 Books/Pack (66204-4PK)
Item #: 901-24558003
Money/rent receipt book is a convenient way to stay organized and track customer transactions in your business
Size: 7.63" x 10.88"
Each carbonless page contains four two-part sets of forms, featuring a white top sheet for recording each transaction and a bottom canary yellow sheet that captures written text from the top sheet
$48.99
Per pack
TOPS 1-Part Petty Cash, 5" x 3.5", 50 Sets/Book (3008)
Item #: 901-745018
5" x 3 1/2"
50 forms
1 form per page
$27.99
Per pack
Adams Carbon Rental Applications, 8.5" x 11", (LF255)
Item #: 901-571368
The easy-to-use, month-to-month rental agreement form allows you to lease residential property on a monthly basis, specifying all terms and conditions from security deposits to late charges
Form size: 11"L x 8.5"W
Form duplicate: carbon; comes in white
$11.99
Per each
Adams 3-Part Carbonless Bill of Lading, 8-1/2" x 7-7/16", 50 Sets/Book (9013)
Item #: 901-195941
Bill of Lading forms are carbonless snap sets
Three-part carbonless (all parts are white)
50 sets/pack
$17.49
1-4 pack
Save 5%
$16.59
5+ pack
Adams Job Invoices, 11.44"L x 8.5"W, 50 Sets/Pack (NC3817-50)
Item #: 901-NC381750
This job-invoice form is designed for service and repair businesses
Form size: 11.44"L x 8.5"W; detached: 10.94"L x 7.88"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$40.99
Per pack
Adams 3-Part Carbonless Invoices, 8.44"W x 5.56"L, 50 Sets/Book (TC5840)
Item #: 901-196170
Invoice book is great for the office or on the go
Form size: 8.44"W x 5.56"L
3-Part Carbonless forms for accurate record keeping
$12.49
1-5 each
Save 3%
$12.09
6+ each
Adams 3-Part Carbonless Auto Repairs, 8.5"L x 7.44"W, 50 Sets/Book (GT3870)
Item #: 901-GT3870
Auto repair order form provides space for all auto service jobs in detail
Business form size: 8.5"L x 7.44"W
3-Part Carbonless forms for accurate record keeping
$17.09
1-4 pack
Save 2%
$16.59
5+ pack
Adams 1 Part Employee Personal Files, 20/Pack (9287ABF)
Item #: 901-9287
The employee personnel file folder is complete with space for any case
Number of parts: 1
Contains 20 per pack for bulk purchasing
$16.09
1-3 pack
Save 3%
$15.59
4+ pack
Purchase Order Book, 2 Parts, Carbonless, 5 1/2" x 7 7/8"
Item #: 901-2675659
Carbonless purchase order book features 400 numbered duplicates with stop card to prevent write-through
Numbered for security
5 numbered lines on each form with space to include information such as stock number, description, quantity and price
$21.79
1-5 each
Save 4%
$20.79
6+ each
Adams Carbonless Rental Applications, 8.5" x 11", 4 Sets/Book (LF310)
Item #: 901-571323
Specify the rights and obligations of both landlord and tenant
Includes four sets of forms, instructions and Lead Paint Disclosure CD-ROM
Use to lease residential rental property to a tenant and outline the terms and conditions for payment
$10.99
Per each
Rediform 2-Part Carbonless Purchase Requisitions, 7"L x 2.7"W, 400 Sets/Book (RED1L176)
Item #: 901-1L176
Purchase order books are designed to help you write orders memos in a clear manner
Business form size: 7"L x 2.7"W
2-Part Carbonless forms for accurate record keeping
$56.99
Per each
Rediform Money 3-Part Carbonless Receipt Book, 2.75" x 6.88", 200/Pack (S1657NCL)
Item #: 901-742650
Money receipt book is consecutively numbered for easy organization
Business form size: 2.75"L x 6.88"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$39.99
Per each