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237 CMS 1500 / HCFA 1500 Version 12/90 ~ 2 Part Pin Fed Claim Forms, US $4.95 – Picture 0
237 CMS 1500 / HCFA 1500 Version 12/90 ~ 2 Part Pin Fed Claim Forms, US $4.95 – Picture 1
237 CMS 1500 / HCFA 1500 Version 12/90 ~ 2 Part Pin Fed Claim Forms, US $4.95 – Picture 2
237 CMS 1500 / HCFA 1500 Version 12/90 ~ 2 Part Pin Fed Claim Forms, US $4.95 – Picture 3
237 CMS 1500 / HCFA 1500 Version 12/90 ~ 2 Part Pin Fed Claim Forms, US $4.95 – Picture 0
237 CMS 1500 / HCFA 1500 Version 12/90 ~ 2 Part Pin Fed Claim Forms, US $4.95 – Picture 1
237 CMS 1500 / HCFA 1500 Version 12/90 ~ 2 Part Pin Fed Claim Forms, US $4.95 – Picture 2
237 CMS 1500 / HCFA 1500 Version 12/90 ~ 2 Part Pin Fed Claim Forms, US $4.95 – Picture 3

237 Cms 1500 / Hcfa 1500 Version 12/90 ~ 2 Part Pin Fed Claim Forms

US $4.95

  • West Hills, California, United States
  • Jan 30th
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237 OMB  Form CMS-1500 (12/90 Version ) ~ 2 part, continuous pin fed (several forms were separated from the entire amount ~ i.e. some have already been torn at the perforation for individual use) ~ red ink for scanning ~ about 237 total forms in this listing (no longer doing billing & this is the amount I counted remaining in the original box) ~ I think my count is accurate, but could be slightly off ~ I did count twice) ~ *please note:  several forms have been separated from the rest ~ there are 177 forms continuously together, then another group of 20 forms continuously together, then another group of 10 forms continuously together, then  there are 30 forms that are separate ~ *please see my other items (including several office supplies) in separate listings ~ if purchased same day, can possibly ship together to save you on shipping costs ~ please contact me in advance* Thank you.      
Condition New other (see details) :
A new, unused item with absolutely no signs of wear. The item may be missing the original packaging, or in the original packaging but not sealed. The item may be a factory second or a new, unused item with defects. See the seller’s listing for full details and description of any imperfections.
Seller Notes “please see description below for count ~ some are separated from the rest ~ New ~ kept in box ~ not exposed to smoke”

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