Adams® Health Insurance Claim Form, 2-Part, 8 1/2" x 11", 100 Sets
| Country | USA |
| Brand | Estée Lauder |
| Manufacturer | Estée Lauder |
| Binding | Health and Beauty |
| ItemPartNumber | 887167558496 |
| Model | PR5Y010000 |
| Size | 1.7 Ounce (Pack of 1) |
| UnitCount | 1 |
| UPCs | 887167558496 |
| EANs | 0887167558496 |
| ReleaseDate | 0000-00-00 |