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TOPS®: CMS-1500 Claim Form Self-Seal Window Envelopes, 9 x 12-1/2, 500/ctn
	Quantity in Basket: None Code: TOP-50992 Price: $113.41
	Quantity:
TOPS® Centers for Medicare and Medicaid Services (CMS) Forms Window Envelopes White Medicare and Medicaid envelope features a self-sealing closure. Includes a sized window on the right side. Designed for CMS-1500 claim forms (formerly known as HCFA-1500 claim forms). Window envelope helps to ensure your documents arrive at their proper location. Features a convenient self-sealing closure. • UPC = 025932509926 • Weight = 15 lbs/CT • Mfgr Code: 50992 • Mfgr Name: TOPS BUSINESS FORMS • PRICED PER CT List Price = $155.51 Our Price = $113.41 Your Savings = $42.10 If your SHIP TO address is in California, you will receive a second invoice showing the California SALES TAX that you paid for this item