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For certification of care
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4″ W x 5-1/2″ L
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2-part, white/canary, carbonless; printed in black ink
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50 sets per pad (100 sheets), order in quantities of 5 pads
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Padded at the top
$14.99 Original price was: $14.99.$10.34Current price is: $10.34.

| # Up Per Sheet/Page | 1 |
|---|---|
| Lines | 7 |
| Security Features | No |
| Personalization | Yes |
| Package Quantity | 50 |
| Numbered | No |
| Number of Parts | 2 |
| NCR Paper | Yes |
| Media Quantity | 50 |
| Holes Punched | No |
| Binding Type | Padded |
| Format | Medical Chart |
| Form Type | Agreements |
| Form Size | 4" x 5-1/2" |
| Customizable | Yes |
| Color | White |
| Carbonless | Yes |
| Brand | Quill |
| Sheet Size | 4" x 5-1/2" |
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