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L58SAB | 5498-SA Laser Standard Pack
L58SAB —  5498-SA Copy B for Participant (50 Laser Cut Sheets)
5498SA 5498S 5134 ~NR~
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Item Number L58SAB
Category 5498-SA
Sub-Category Laser Standard Pack
Unit* PACK (50 Sheets)
Minimum 1   PACK
Our Price $ 10.95  /PACK
PACK
*See Item Specifications Below
  Item Specifications
5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information
Copy B for Participant - PREPRINTED
50 Laser Cut Sheets (Same as 5134)
Yields 150 Forms

Companion Envelopes: DW19W, DW19WS, or SW19

Compatible Blank Paper and Envelopes

Blank Generic Paper L9BLH, L9BLH500, requires envelope DW19W, DW19WS

Blank Generic Paper L9BL, L9BL500, requires envelope DW19W, DW19WS, or SW19

Ordinary Copy Paper requires envelope DW19W, DW19WS
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