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TOP59870R
TOPS
UB04 Hospital Insurance Claim Form
Paper Red White
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.

  • Features
  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.

  • Specifications
  • Form Quantity 2500
  • Form Size 8.5 x 11
  • Forms Per Page 1
  • Global Product Type Forms-Insurance
  • Layout One Form per Sheet
  • Paper Color Red White
  • Paper Stock 20-lb.
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Print and Ruling Color Red
  • Printer Compatibility Laser
  • Special Features For Laser Printers
  • Total Recycled Content Percent 0%
TOP74620
TOPS
Second NatureĀ® Phone Call Book
Copy s Two-Part Carbonless, Paper White, Sheet 5.5 x 11
Original "Phone Call" message tears out and duplicate remains as a permanent record. Stop card prevents write-through. Date register on front cover, area codes on inside front cover.
  • Includes one book of 400 forms

  • Features
  • Original "Phone Call" message tears out and duplicate remains as a permanent record.
  • Stop card prevents write-through.
  • Date register on front cover, area codes on inside front cover.

  • Specifications
  • Binding Side: Vinyl-Coated Coil-Locked Wire
  • Copy Types Two-Part Carbonless
  • Form Quantity 400
  • Form Size 5 x 2.75
  • Forms Per Page 4
  • Global Product Type Forms-Memo & Message
  • Paper Color White
  • Post-Consumer Recycled Content Percent 30%
  • Pre-Consumer Recycled Content Percent 30%
  • Print and Ruling Color Blue/Red
  • Sheet Size 5.5 x 11
  • Total Recycled Content Percent 60%
TOPL3841
TOPS
Hazardous Material Short Form
Copy s Three-Part Carbonless, Paper Blue White, Sheet 7 7/16 x 8 1/2
Hazardous material check-off column highlighted with red symbol. Emergency response phone number box with red printing. For ten or fewer items.

  • Features
  • Use this simplified form to itemize up to 10 articles.
  • Hazardous material information areas.
  • Includes Memorandum Copy for agent's or shipper's files.

  • Specifications
  • Copy Paper Color White
  • Copy Types Three-Part Carbonless
  • Form Quantity 250
  • Form Size 7 x 8 1/2
  • Forms Per Page 1
  • Global Product Type Forms-Shipping & Receiving
  • Layout One Form per Sheet
  • Number of Entry Lines 10
  • Numbering Color Blue
  • Numbering Preprinted at Bottom on All Parts
  • Paper Color Blue White
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Principal Heading Bill of Lading
  • Print and Ruling Color Blue/Red
  • Punching Bottom: Two-Hole Top: Hanging Hole
  • Sheet Size 7 7/16 x 8 1/2
  • Special Features Carbonless Triplicate
  • Total Recycled Content Percent 0%
UNV48003
Universal
Wirebound Message Books
Copy s Carbonless Duplicate, Paper Blue Pink White, Sheet 11 x 5.5
Black-print carbonless duplicates, with stop card to prevent write-through. Reverse side ruled for more note space.
  • Includes one book of 400 forms.

  • Features
  • Compact book comes with stop card to prevent write-through.
  • Begin message on front of form and continue longer notes on ruled back.
  • Duplicate remains in book as permanent record.

  • Specifications
  • Binding Wire Side
  • Copy Paper Color Canary
  • Copy Types Carbonless Duplicate
  • Form Quantity 400
  • Form Size 5 x 3.38
  • Forms Per Page 4
  • Global Product Type Forms-Memo & Message
  • Layout Four Forms Down Page Ruled Note Section on Back of Forms
  • Paper Color Blue Pink White
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Principal Heading Phone Call
  • Print and Ruling Color Blue Red
  • Sheet Size 11 x 5.5
  • Special Features Book Size 11 x 5 1/2-Value Pack-Stock Up and Save!
  • Total Recycled Content Percent 0%
UNV48023
Universal
Ā“Important Message" Pink Pads
Paper Gray Pink, Sheet 4.25 x 5.5
Set up for quick and easy message taking. Shaded check-off boxes.
  • Includes 12 pads of 50 sheets each.

  • Features
  • Set up for quick and easy message taking.
  • Shaded check-off boxes.

  • Specifications
  • Binding Top
  • Form Quantity 50
  • Form Size 4.25 x 5.5
  • Forms Per Page 1
  • Global Product Type Forms-Memo & Message
  • Layout One Form on Sheet
  • Paper Color Gray Pink
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Principal Heading Important Message
  • Print and Ruling Color Black
  • Sheet Size 4.25 x 5.5
  • Total Recycled Content Percent 0%
TOP46816
TOPS
Money and Rent Receipt Books
Cover Flexible, Copy s Two-Part Carbonless, Paper Blue White Yellow
Use to record monies received. Consecutively numbered in red. Black-print copies. Wrap-around stop card prevents "write through."
  • Includes one book of 400 sets

  • Features
  • Keep a permanent record of all receipts.
  • Consecutively numbered in red.
  • Check-off box for rent/line to write in other purpose.
  • Black-print copies.
  • Wrap-around stop card prevents write through.

  • Specifications
  • Binding Side
  • Copy Paper Color Canary
  • Copy Types Two-Part Carbonless
  • Cover Material Flexible
  • Footnote 1 Value Pack -- Stock up and save
  • Form Quantity 400
  • Form Size 7.13 x 2.75
  • Forms Per Page 4
  • Global Product Type Forms-Sales & Work Order
  • Layout Four Forms Down Page
  • Numbering Color Red
  • Numbering Preprinted at Top
  • Paper Color Blue White Yellow
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Principal Heading Receipt
  • Print and Ruling Color Blue/White
  • Special Features Carbonless Duplicate-Account and Payment Type section.
  • Total Recycled Content Percent 0%
WLJ039511
Wilson Jones
Looseleaf Corporation Minute Book
Cover Faux Leather, Binding/Cover Three-Post Binder/Leather-Like, Cover Black, Paper White, Sheet (W x H) 8.5 x 11
Hand-bound, imitation leather, 250-page minute-book binder is highly durable and keeps your information confidential. Includes acid-free, 28 lb. ledger paper prepunched with rectangular holes. Short-pull rod-locking mechanism opens front and back covers for easy editing. Gold-tooled covers and spines add a touch of professionalism and style.
  • Includes 250 sheets of 28 lb. ledger paper.

  • Features
  • Sheets can be removed or locked into bound book.
  • Three rectangular posts, 8 1/4" outside centers.
  • Leather-like covers.
  • Plain white, unnumbered ledger sheets.

  • Specifications
  • Binding/Co ver Type Three-Post Binder/Leather-Like
  • Cover Color Black
  • Cover Material Faux Leather
  • Dated/Undated Undated
  • Global Product Type Ledgers/Journals-Professional Journal
  • Ledgers/Journals Type Minute
  • Numbered/Unnumbered Unnumbered
  • Pages Per Book 250
  • Paper Color White
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Refill Pages Wilson Jones 90110
  • Ruling Unruled
  • Sheet Size (W x H) 8.5 x 11
  • Total Recycled Content Percent 0%
WLJ039531
Wilson Jones
Looseleaf Corporation Minute Book
Cover Faux Leather, Binding/Cover Three-Post Binder/Leather-Like, Cover Black, Paper White, Sheet (W x H) 8.5 x 14
Hand-bound, imitation leather, 250-page minute-book binder is highly durable and keeps your information confidential. Includes acid-free, 28 lb. ledger paper prepunched with rectangular holes. Short-pull rod-locking mechanism opens front and back covers for easy editing. Gold-tooled covers and spines add a touch of professionalism and style.
  • Includes 250 sheets of 28 lb. ledger paper.

  • Features
  • Sheets can be removed or locked into bound book.
  • Three rectangular posts, 8 1/4" outside centers.
  • Leather-like covers.
  • Plain white, unnumbered ledger sheets.

  • Specifications
  • Binding/Co ver Type Three-Post Binder/Leather-Like
  • Cover Color Black
  • Cover Material Faux Leather
  • Dated/Undated Undated
  • Global Product Type Ledgers/Journals-Professional Journal
  • Ledgers/Journals Type Minute
  • Numbered/Unnumbered Unnumbered
  • Pages Per Book 250
  • Paper Color White
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Refill Pages Wilson Jones 90130
  • Ruling Unruled
  • Sheet Size (W x H) 8.5 x 14
  • Total Recycled Content Percent 0%
WLJ039611
Wilson Jones
Looseleaf Corporation Minute Book
Cover Faux Leather, Binding/Cover Three-Post Binder/Leather-Like, Cover Red, Paper White, Sheet (W x H) 8.5 x 11
Hand-bound, imitation leather, 250-page minute-book binder is highly durable and keeps your information confidential. Includes acid-free, 28 lb. ledger paper prepunched with rectangular holes. Short-pull rod-locking mechanism opens front and back covers for easy editing. Gold-tooled covers and spines add a touch of professionalism and style.
  • Includes 250 sheets of 28 lb. ledger paper.

  • Features
  • Sheets can be removed or locked into bound book.
  • Three rectangular posts, 8 1/4" outside centers.
  • Leather-like covers.
  • Plain white, unnumbered ledger sheets.

  • Specifications
  • Binding/Co ver Type Three-Post Binder/Leather-Like
  • Cover Color Red
  • Cover Material Faux Leather
  • Dated/Undated Undated
  • Global Product Type Ledgers/Journals-Professional Journal
  • Ledgers/Journals Type Minute
  • Numbered/Unnumbered Unnumbered
  • Pages Per Book 250
  • Paper Color White
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Refill Pages Wilson Jones 90110
  • Ruling Unruled
  • Sheet Size (W x H) 8.5 x 11
  • Total Recycled Content Percent 0%
WLJ90110
Wilson Jones
Minute Book Refill Ledger Sheets
Ledger Sheet Record & Minute, Paper Ivory, Sheet 11" x 8 1/2", Number of Holes Punched 3
Designed for use in minute books, this 28-lb. acid-free paper will not discolor or deteriorate over time to provide you with long-lasting performance. Pages are prepunched with three rectangular holes with for easy insertion into minute books.

  • Features
  • Three rectangular punched holes (with 8 1/2" outside centers).
  • 28-lb. acid-free paper won't discolor or deteriorate.
  • Un-ruled, unnumbered page are 100% recyclable.

  • Specifications
  • For Use With WLJ-039511
  • Format Loose Sheet
  • Global Product Type Ledger Sheets
  • Layout Unruled Un-numbered
  • Ledger Sheet Refill Type Looseleaf Minute Binder
  • Ledger Sheet Type Record & Minute
  • Number of Holes Punched 3
  • Paper Color Ivory
  • Paper Stock 28-lb.
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Preprinted No
  • Punching Rectangular 8 1/2" Outside Centers
  • Refill for Binder Type Looseleaf Minute Binder
  • Sheet Size 11" x 8 1/2"
  • Total Recycled Content Percent 0%
WLJ90130
Wilson Jones
Minute Book Refill Ledger Sheets
Ledger Sheet Record & Minute, Paper Ivory, Sheet 14" x 8 1/2", Number of Holes Punched 3
Designed for use in minute books, this 28-lb. acid-free paper will not discolor or deteriorate over time to provide you with long-lasting performance. Pages are prepunched with three rectangular holes with for easy insertion into minute books.

  • Features
  • Three rectangular punched holes (with 8 1/2" outside centers).
  • 28-lb. acid-free paper won't discolor or deteriorate.
  • Un-ruled, unnumbered page are 100% recyclable.

  • Specifications
  • For Use With WLJ-039531
  • Format Loose Sheet
  • Global Product Type Ledger Sheets
  • Layout Unruled Un-numbered
  • Ledger Sheet Refill Type Looseleaf Minute Binder
  • Ledger Sheet Type Record & Minute
  • Number of Holes Punched 3
  • Paper Color Ivory
  • Paper Stock 28-lb.
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Preprinted No
  • Punching Rectangular 8 1/2" Outside Centers
  • Refill for Binder Type Looseleaf Minute Binder
  • Sheet Size 14" x 8 1/2"
  • Total Recycled Content Percent 0%
WLJ90310
Wilson Jones
Minute Book Refill Ledger Sheets
Ledger Sheet Record & Minute, Paper White, Sheet 11" x 8 1/2", Number of Holes Punched 3
Designed for use in minute books, this 28-lb. acid-free paper will not discolor or deteriorate over time to provide you with long-lasting performance. Pages are prepunched with three rectangular holes with for easy insertion into minute books.

  • Features
  • Three rectangular punched holes (with 8 1/2" outside centers).
  • 28-lb. acid-free paper won't discolor or deteriorate.
  • Un-ruled, unnumbered page are 100% recyclable.

  • Specifications
  • For Use With WLJ-039511
  • Format Loose Sheet
  • Global Product Type Ledger Sheets
  • Layout Unruled Un-numbered
  • Ledger Sheet Refill Type Looseleaf Minute Binder
  • Ledger Sheet Type Record & Minute
  • Number of Holes Punched 3
  • Paper Color White
  • Paper Stock 28-lb.
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Preprinted No
  • Punching Rectangular 8 1/2" Outside Centers
  • Refill for Binder Type Looseleaf Minute Binder
  • Sheet Size 11" x 8 1/2"
  • Total Recycled Content Percent 0%
TOP46820
TOPS
Money and Rent Receipt Books
Cover Flexible, Copy s Two-Part Carbonless, Paper White Pink
Use to record monies received. Consecutively numbered in red. Black-print copies. Wrap-around stop card prevents "write through."
  • Includes one book of 50 receipts

  • Features
  • Keep a permanent record of all receipts.
  • Consecutively numbered in red.
  • Check-off box for rent/line to write in other purpose.
  • Black-print copies.
  • Wrap-around stop card prevents write through.

  • Specifications
  • Binding Side
  • Copy Paper Color Canary
  • Copy Types Two-Part Carbonless
  • Cover Material Flexible
  • Form Quantity 50
  • Form Size 4.78 x 2.75
  • Forms Per Page 1
  • Global Product Type Forms-Sales & Work Order
  • Layout One Form on Page
  • Numbering Color Red
  • Numbering Preprinted at Top
  • Paper Color White Pink
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Principal Heading Received Of
  • Print and Ruling Color Purple
  • Special Features Carbonless Duplicate
  • Total Recycled Content Percent 0%
TOP46808
TOPS
Money and Rent Receipt Books
Cover Flexible, Copy s Three-Part Carbonless, Paper Blue White Yellow
Use to record monies received. Consecutively numbered in red. Black-print copies. Wrap-around stop card prevents "write through."
  • Includes one book of 100 sets

  • Features
  • Keep a permanent record of all receipts.
  • Consecutively numbered in red.
  • Check-off box for rent/line to write in other purpose.
  • Black-print copies.
  • Wrap-around stop card prevents write through.

  • Specifications
  • Binding Side
  • Copy Paper Color Canary Pink
  • Copy Types Three-Part Carbonless
  • Cover Material Flexible
  • Form Quantity 100
  • Form Size 7.13 x 2.75
  • Forms Per Page 4
  • Global Product Type Forms-Sales & Work Order
  • Layout Four Forms Down Page
  • Numbering Color Red
  • Numbering Preprinted at Top
  • Paper Color Blue White Yellow
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Principal Heading Receipt
  • Print and Ruling Color Blue/White
  • Special Features Carbonless Triplicate-Account and Payment Type section.
  • Total Recycled Content Percent 0%
TOP4133
TOPS
Bill for Services Rendered Book
Copy s Two-Part Carbonless, Paper Blue White
Space for description of services, invoice number, addressee information and terms of net cash payment. Tear out original for customer; copy remains bound in book for permanent reference. Black-print carbonless copies.

  • Features
  • Simple format allows flexibility in billing for services rendered.
  • Plenty of space for addresses and descriptions of services and charges.

  • Specifications
  • Binding Top: Spiral
  • Copy Paper Color Canary
  • Copy Types Two-Part Carbonless
  • Footnote 1 11 lines
  • Form Quantity 50
  • Form Size 8.5 x 7.75
  • Forms Per Page 1
  • Global Product Type Forms-Sales & Work Order
  • Layout One Form on Page
  • Number of Entry Lines 11
  • Paper Color Blue White
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Principal Heading Bill for Services Rendered
  • Print and Ruling Color Blue
  • Total Recycled Content Percent 0%
TOP46146
TOPS
Purchase Order Book
Copy s Two-Part Carbonless, Paper Blue White
Consecutively numbered purchase orders and numbered lines help with record keeping. Keep a copy for a permanent record.

  • Features
  • Consecutively numbered purchase orders and numbered lines help with record keeping.
  • Keep a bound copy for a permanent record.

  • Specifications
  • Binding Top: Glued
  • Copy Paper Color Canary
  • Copy Types Two-Part Carbonless
  • Form Quantity 50
  • Form Size 8.38 x 10.19
  • Forms Per Page 1
  • Global Product Type Forms-Sales & Work Order
  • Layout One Form on Page
  • Number of Entry Lines 22
  • Numbering Color Blue Red
  • Numbering Preprinted at Top Preprinted Listing Lines
  • Paper Color Blue White
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Principal Heading Purchase Order
  • Print and Ruling Color Blue
  • Punching Bottom
  • Two-Hole
  • Special Features Carbonless Duplicate-24 lines
  • Total Recycled Content Percent 0%
TOP4161
TOPS
Money/Rent Receipt Spiral Book
Cover Flexible, Copy s Two-Part Carbonless, Paper White Yellow, Sheet 11 x 5.25
Check-off box to indicate For Rent and check-off box For Other with write-in space. Space to fill in account, paid and due amounts. Check-off boxes to indicate cash, check or money order. Numbered.
  • Includes one book of 200 receipts

  • Features
  • Check-off box to indicate For Rent and check-off box For other with write-in space.
  • Space to fill in account, paid and due amounts.
  • Check-off boxes to indicate cash, check or money order.

  • Specifications
  • Binding Side: Spiral
  • Copy Paper Color Canary
  • Copy Types Two-Part Carbonless
  • Cover Material Flexible
  • Form Quantity 200
  • Form Size 4.75 x 2.75
  • Forms Per Page 4
  • Global Product Type Forms-Sales & Work Order
  • Layout Four Forms Down Page
  • Paper Color White Yellow
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Principal Heading Receipt
  • Print and Ruling Color Purple
  • Sheet Size 11 x 5.25
  • Total Recycled Content Percent 0%
TOP41850
TOPS
Spiralbound Proposal Form Book
Copy s Two-Part Carbonless, Paper Purple White
Clearly specifies all material and labor to be furnished. Customer signature creates binding contract. Duplicate with job cost record on back remains bound in book as permanent record. Written in general language. Shaded space at top for proposal number, date and sheet number. Perforated originals for easy removal.
  • Includes 50 forms.

  • Features
  • Clearly specifies all material and labor to be furnished.
  • Customer signature creates binding contract.
  • Duplicate with job cost record on back remains bound in book as permanent record.
  • Written in general language.
  • Shaded space at top for proposal number, date and sheet number.
  • Perforated originals for easy removal.

  • Specifications
  • Binding Side: Spiral
  • Copy Paper Color Canary
  • Copy Types Two-Part Carbonless
  • Form Quantity 50
  • Form Size 11 x 8 1/2
  • Forms Per Page 1
  • Global Product Type Forms-Proposals
  • Estimates & Agreements
  • Layout One Form on Front and Cost Record on Back of Duplicate Copy One Form on Page
  • Numbering Write-In at Top
  • Paper Color Purple White
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Principal Heading Proposal
  • Print and Ruling Color Purple
  • Total Recycled Content Percent 0%
TOP4416
TOPS
Voice Message Log Books
Paper White
Slim spiralbound books conserve space; tote in briefcase, time management organizer or glove compartment. Provides accurate log of retrieved messages. Handy check-off box indicating returned messages, providing a quick visual reminder of pending work. Printed on heavyweight bond to prevent bleed-through. Date register on front cover.
  • Includes one book of 800 message forms

  • Features
  • Convenient size for carrying with in briefcase or car.
  • Provides space for details of retrieved messages.
  • Check-off boxes highlight returned calls, providing a quick visual reminder of pending work.
  • Heavyweight bond prevents bleed-through to entries on reverse page.
  • Date register on front cover.

  • Specifications
  • Binding Side: Spiral
  • Footnote 1 Enough space for 800 messages
  • Form Quantity 800
  • Form Size 8.5 x 8.25
  • Forms Per Page 1
  • Global Product Type Forms-Memo & Message
  • Layout Full-Width Entry Pages
  • Number of Entry Lines 7
  • Paper Color White
  • Paper Stock Heavyweight Bond
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Print and Ruling Color Blue/Red
  • Total Number of Entries per Book 800
  • Total Recycled Content Percent 0%
TOP44165
TOPS
Voice Mail Message Book
Paper White
Flash message format helps keep an accurate record of voice messages while "on the go." No more lost scraps of paper or notes scribbled on the back of business cards. The cover flips back for easy writing. Handy check-off box indicates returned messages.

  • Features
  • Helps keep an accurate record of voice messages while "on the go."
  • Cover flips back for easy writing in the car.
  • Handy check-off box indicates returned messages.
  • No more lost scraps of paper or notes scribbled on the back of business cards.

  • Specifications
  • Binding Side: Spiral
  • Form Quantity 1400
  • Form Size 8 1/2 x 8 1/4
  • Forms Per Page 1
  • Global Product Type Forms-Memo & Message
  • Layout Two-Column Entry Pages
  • Number of Entry Lines 14
  • Paper Color White
  • Post-Consumer Recycled Content Percent 0%
  • Pre-Consumer Recycled Content Percent 0%
  • Principal Heading Date Name/Number
  • Print and Ruling Color Blue
  • Total Number of Entries per Book 1400
  • Total Recycled Content Percent 0%

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