Cardinal Brands 59870R UB04 Hospital Claim Form 2500 Sheets 8.5×11
Manufacturer Part Number 59870R. OCR ink for scanning. Laser Printer Compatible. Form Type Details: UB04; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11. Form Type Details:UB04. Assembly Required: No.
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