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Home > Claim Forms CMS/UB04/ADA  >  #10 CMS Envelopes, Right Middle Window, Regular Seal- BLANK, 500/bx
#10 CMS Envelopes, Right Middle Window, Regular Seal- BLANK, 500/bx
#10 CMS Envelopes, Right Middle Window, Regular Seal- BLANK

#10 CMS Envelopes, Right Middle Window, Regular Seal- BLANK, 500/bx

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Your Price:$42.00
In Stock.
Part Number:WHCF-10-ENV-PL
Quantity Pricing
Quantity
Price
  • 2 - 4
  • $37.00
  • 5 - 9
  • $35.00
  • 10 - 19
  • $33.00
  • 20+
  • $27.00
The Traditional #10 Claim Envelope (4 1/8" x 9 1/2") holds up to 12 Claims.

Window Size is: 1 1/8" x 4 1/2". It is positioned 4" from the left and 1 3/8" from the top.

Available blank


Regular Seal= Requires moisture (gum seal)

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