Quality Park Healthcare Claim Form #10 1/2 Envelopes, 1 Window, CMS-1500, Self Seal, Privacy Security Tint, 4-1/2 x 9-1/2 Inches, 24 lb White, 500/Box (QUA21438)
| Country | USA |
| Brand | KiBcsLic |
| Manufacturer | KiBcsLic |
| Binding | Apparel |
| ItemPartNumber | 54140787140714832 |
| Warranty | 6 months warranty from the date of purchase |
| Color | White Black |
| Size | XX-Small |
| ReleaseDate | 0000-00-00 |