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TOPS 1-part UB-04 Laser-cut Forms
TOPS 1-part UB-04 Laser-cut Forms - 1 Part - 11" x 8.50" Form Size - Red Print Color - 2500 / Carton
| $146.75 |
Manufacturer:
TOPS Products
Item:
59870R
Our Part #
TOP59870R
$146.75
Availability
In Stock
Product description
Specifications
Certifications & Standards
American Medical Association
Country of Origin
United States
Environmental Certification
SFI
Form Length
11"
Packaged Quantity
2500 / Carton
Print Color
Red
Product Model
UB-04
Product Type
Claim Form