Prescription Pad Program

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3 Prescription Pad Program Standard - Secure Green Security Features: Chemical Protection Paper, Scallop Void Pantograph, Green Background, Security Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, Watermark in Coin Reactive Ink, Printed Security Feature listing. Medicaid Compliant. PRESCRIPTION PADS Standard - Secure Green Item No. Size Parts Quantity PRES1GNH w x h PRES1GNV w x h Per Pad PRES2GNH w x h PRES2GNV w x h 2 50 Sets Per Book 1-part, order in multiples of 4. 1-part consecutive numbering, order in multiples of 8. 2-part, order in multiples of 9. PRES2GNV Standard - Secure Blue Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue Background, Security Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, Watermark in Coin Reactive Ink, Printed Security Feature listing. Medicaid Compliant. PRES1GNH Standard - Secure Blue Item No. Size Parts Quantity PRES1BLH w x h PRES1BLV w x h Per Pad PRES2BLH w x h PRES2BLV w x h 2 50 Sets Per Book 1-part, order in multiples of 4. 1-part consecutive numbering, order in multiples of 8. 2-part, order in multiples of 9. PRES2BLV Laser Rx Stock* Security Features: Scallop Void Pantograph, Blue or Green Background, Rx Thermochromic Ink, Microprinting in Security Feature Listing in Border Line, Chemical Protection Paper, Artificial Watermark, Invisible Fluorescent Fibers, Watermark in Coin Reactive Ink, Printed Security Feature listing. Medicaid Compliant. PRES2BLH NEW! Laser Rx Stock Item No. Size Color Perforation Position Quantity PRESLBL Blue PRESLGN Green None PRESLBL2 Blue Horizontal Stock PRESBLHLBL w x 11h Blue Horizontal & Vertical packaged PRESLGN2 Green Horizontal in 500 s PRESLBL4 Blue PRESLGN4 Green Horizontal & Vertical * Not for use in DE, NJ or WA for any prescriptions. Not for use in CA, IN, K or WV for controlled substance prescriptions. Imprint packaged in 250 s. NEW! PRESLBL4 PRESLBL2 PRESBLHLBL PRESLBL Custom runs can be quoted to incorporate other states standards. Standard - Bond Paper Standard Bond Paper Item No. Size Parts Quantity PRES1WHHBD-White PRES1BLHBD-Blue PRES1CANHBD-Canary PRES1GNHBD-Green PRES1PNKHBD-Pink PRES1WHVBD-White w x h 1-part Only 100 Per Pad PRES1BLVBD-Blue PRES1CANVBD-Canary PRES1GNVBD-Green PRES1PNKVBD-Pink w x h 1-part Only 100 Per Pad 24# Plain Bond Paper Paper Color Options: White, Blue, Green, Pink, Canary PRES1PNKVBD PRES1WHHBD 3

4 PRESCRIPTION PADS Prescription Pad Program California Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue Background, California Security Prescription Watermark on Back, Preprinted Prescriber Information, Batch & Consecutive Numbering, Rx Thermochromic Ink, License and DEA Numbers, Reverse Rx, Microprinting in Signature Line, Format and Size Requirements, Watermark in Coin Reactive Ink, Printed Security Feature listing. Ask our customer service about institutional style. PRESCA1BL California Item No. Size Parts Quantity PRESCA1BL w x h Per Pad PRESCA1BLM PRESCA2BL w x h 2 50 Sets Per Book PRESCA2BLM PRESCA2BLM California Laser Rx Paper Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue Background, California Security Prescription Watermark on Back, Preprinted Prescriber Information, Batch & Consecutive Numbering, Rx Thermochromic Ink, License and DEA Numbers, Reverse Rx, Microprinting in Signature Line, Watermark in Coin Reactive Ink, Printed Security Feature listing. NEW! California Laser Rx Paper Item No. COLOR Perforation Positions Quantity PRESCABLBLI Blue Horizontal & Vertical NEW! PRESCALBLI Blue Horizontal & Vertical 250/Pkg PRESCASHBLBLI Blue Horizontal & Vertical PRESCABLBLI* PRESCASHBLBLI Delaware Security Features: Chemical Void Paper, Scallop Void Pantograph, Blue Background, Delaware Security Prescription Watermark on Back, Preprinted Prescriber Information, Consecutive Numbering, Rx Thermochromic Ink, Microprinting in Border Lines, Watermark in Coin Reactive Ink, Printed Security Feature listing. PRESCALBLI* Delaware Item No. Size Parts Quantity PREDE1BLH w x h Per Pad PRESDE1BLV w x h Per Pad PRESDE2BLHNO w x h 2 50 Sets / Book PRESDE2BLHNO PRESDE2BLVNO w x h 2 50 Sets / Book PRESDE2BLVNO Delaware Laser Rx Paper Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue Background,Delaware Security Prescription Watermark on Back, Consecutive Numbering, Rx Thermochromic Ink, Microprinting Security Feature Listing in Border Lines, Watermark in Coin Reactive Ink, Printed Security Feature listing. Medicaid Compliant! Delaware Laser Rx Paper Item No. COLOR Quantity PRESDELBL PRESDELBLI* Blue PRESDELBL2 Blue, Horizontal Perf PRESDELBL2I* Blue, Horizontal Perf 250/Pkg PRESDELBL4 Blue, Horiz. Perf & Vert. Perf PRESDELBL4I* Blue, Horiz. Perf & Vert. Perf PRESDELBL PRESDELBL2 PRESDELBL4I * CA, IN, K, FL, ME, WV & W For controlled substance prescriptions. DE, NJ, WA - For all prescriptions. * Upcharges may apply: Consecutive Numbering, Proofs, Rush delivery. 4

5 Prescription Pad Program Florida Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue or Green Background, Security Prescription Watermark on Back, Preprinted Prescriber Information, WIL Batch Numbering, Rx Thermochromic Ink, License Number, Microprinting in Border Lines, Watermark in Coin Reactive Ink, Printed Security Feature listing. Medicaid & Controlled Substance Approved! PRESCRIPTION PADS Florida Item No. Size Parts Quantity PRES1BLH PRES1GNH w x h PRES1BLV PRES1GNV w x h Per Pad PRES2BLH PRES2GNH w x h PRES2BLV PRES2GNV w x h 2 50 Sets Per Book PRES1BLV PRES2BLH PRES2GNH NEW! NEW! Indiana Security Features: Chemical Protection Paper, Scallop Void Pantograph, Reflex Blue Background, Indiana Security Prescription Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, Reverse Rx Symbol, Format and Size Requirements, Watermark in Coin Reactive Ink, Printed Security Indiana Feature listing. Item No. Size Parts Quantity PRESIN1BL w x h Per Pad PRESIN2BL w x h 2 50 Sets Per Book PRESINLBL* w x 11 h 1 500/ Package *Packaged in 250 s after imprint. Kentucky Security Features: Chemical Protection Paper, Scallop Void Pantograph, Pantone Green Background, Kentucky Security Prescription Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, Reverse Rx Symbol, Format and Size Requirements, Watermark in Coin Reactive Ink, Kentucky Item No. Size Parts Quantity PRESK1GN w x h Per Pad PRESK2GN w x h 2 50 Sets Per Book PRESKLGN* w x 11 h 1 500/ Package *Packaged in 250 s after imprint. Printed Security Feature listing. NEW! NEW! PRESINLBL PRESKLGN Maine Security Features: Chemical Protection Paper, Scallop Void Pantograph, Green or Blue Background, Security Prescription Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, Format and Size Requirements, Watermark in Coin Reactive Ink, Printed Security Feature listing. * PRESIN1BL PRESK1GN PRESK1GN Maine Item No. Size Parts Quantity PRES1GNH w x h PRES1BLH w x h Per Pad PRES2GNH w x h PRES2BLH w x h 2 50 Sets Per Book PRES2GNH * CA, IN, K, FL, ME, WV & W For controlled substance prescriptions. DE, NJ, WA - For all prescriptions. * Upcharges may apply: Consecutive Numbering, Proofs, Rush delivery. 5

6 PRESCRIPTION PADS Prescription Pad Program New Jersey Security Features: Chemical Protection Paper, Flat Screen Void Pantograph with Hollow Void, Green Background on Front, Blue Background on Back, Preprinted Prescriber Information, 15 Digit Identifier, Barcode, New Jersey State Seal, Rx Thermochromic Ink, Microprinting, Security Feature Listing. Medicaid & Controlled Substance Approved! PRESnj1apnV PRESnj1eyeV PRESnj1hcfV PRESnj1mdV PRESnj1mwV PRESnj1optV PRESnj1paV New Jersey Item No. Size Parts Quantity PRESNJ1APNV 4 W x h 1 PRESNJ1EEV 4 W x h 1 PRESNJ1HCFV 4 W x h 1 PRESNJ1MDV 4 W x h / Pad PRESNJ1MWV 4 W x h 1 PRESNJ1OPTV 4 W x h 1 PRESNJ1PAV 4 W x h 1 New Jersey Item No. Size Parts Quantity PRESNJ2APNV 4 W x H 2 PRESNJ2EEV 4 W x H 2 PRESNJ2HCFV 4 W x H 2 50 Sets / PRESNJ2MDV 4 W x H 2 Book PRESNJ2MWV 4 W x H 2 PRESNJ2OPTV 4 W x H 2 PRESNJ2PAV 4 W x H 2 New Jersey Laser Rx Paper Security Features: Chemical Protection Paper, Flat Screen Void Pantograph with Hollow Void, Green Security Background on front, Blue Background on back, Preprinted Prescriber Information, 15 Digit Identifier, Barcode, New Jersey State Seal, Rx Thermochromic Ink, Microprinting, Security Feature Listing. Medicaid & Controlled Substance Approved! PRESNJAPNLGNI PRESNJEELGNI PRESNJHCFLGNI PRESNJMDLGNI PRESNJMWLGNI PRESNJOPTLGNI PRESNJPALGNI Item No. Color Quantity PRESNJAPNLGNI PRESNJEELGNI PRESNJHCFLGNI PRESNJMDLGNI Green Front, Blue Back Horiz. Perf & Vert. Perf 250/Pkg Item No. Color Quantity PRESNJMWLGNI PRESNJOPTLGNI Green Front, Blue Back PRESNJPALGNI Horiz. Perf & Vert. Perf 250/Pkg Washington Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue Background, Preprinted Prescriber Information, Microprinting in Border Line, Printed Security Feature listing. Washington Item No. Size Parts Quantity PRESWA1BLH w x h PRESWA1BLV w x h Per Pad PRESWA2BLH w x h PRESWA2BLV w x h 2 50 Sets Per Book * CA, IN, K, FL, ME, WV & W For controlled substance prescriptions. DE, NJ, WA - For all prescriptions. * Upcharges may apply: Consecutive Numbering, Proofs, Rush delivery. PRESWA1BLV PRESWA2BLH 6

7 West Virginia Security Features: Chemical Protection Paper, Scallop Void Pantograph, Green Background, Security Prescription Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, Reverse Rx Symbol, Format and Size Requirements, Watermark in Coin Reactive Ink, Printed Security Feature listing. West Virginia Item No. Size Parts Quantity PRESWV1GN w x h Per Pad PRESWV2GN w x h 2 50 Sets Per Book Prescription Pad Program Wyoming Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue or Green Background, Security Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, License Number, Watermark in Coin Reactive Ink, Printed Security Feature listing. PRESCRIPTION PADS Washington Laser Rx Paper Security Features: Scallop Void Pantograph, Blue Background, WA Thermochromic Seal, Microprinting in Security Feature Listing Border Lines, Chemical Protection Paper, Line Watermark, Invisible Fluorescent Fibers, Printed Security Feature listing. Medicaid Compliant! Washington Laser Rx Paper Item No. Color Quantity PRESWALBL Blue PRESWALBL-MM NEW! Blue 500/Pkg PRESWALBL2 Blue, Horizontal Perf PRESWALBL4 Blue, Horiz. Perf & Vert. Perf NEW! PRESWALBL PRESWALBL-MM PRESWALBL2 PRESWALBL4 PRESWV1GN Wyoming Item No. Size Parts Quantity PRES1BLH PRES1GNH w x h PRES1BLV PRES1GNV w x h Per Pad PRES2BLH PRES2GNH w x h PRES2BLV PRES2GNV w x h 2 50 Sets Per Book MEDICAID Compliant Presciption Thermal Rolls Prescription Thermal Rolls Security Features: Flat Screen Void Pantograph, Reverse Rx, Blue Background, Artificial Watermark, Batch Numbering, Thermochromic Ink, Watermark in Coin Reactive Ink, Printed Security Feature listing. Prescription Thermal Rolls Size COLOR Quantity Specs Weight w x 6 h Blue Background 500 Scripts per roll (16 rolls per carton) PRES1BLV 20#Thermal paper 1-Inch wood core Vertical layout with timing mark 25 lbs. PRES2BLH Fight Against Fraud! PRES1GNH 7

8 HEALTHCARE FORMS The Health Insurance Portability and Accountability Act (HIPAA) law requires all healthcare professionals to develop policies and procedures limiting access to personal health information without sacrificing the quality of healthcare. Claim Form Examples Claim Forms Claim Form Envelope Examples Dental Claim Forms WADA2002ENVSSI WADAENVBNI WHCF15ENVSSI or WHCF15ENVSSPL WHCF1500ENVSSBL (PMS 300 BLUE) WHCF1500ENVSS (PMS 347 Green) WCMENVI Pre-Inserted Envelopes WUBENVSS WHCF10ENV or WHCF10ENVSS WHCF10ENVWL or WHCF10ENVWLPL WHCF1500ENVWLBL (PMS 300 BLUE) WHCF1500ENVWL (PMS 347 Green) 8

9 HEALTHCARE FORMS 1-Part Dental Claim Forms Item No. Description Paper Size Color/Bar Code Per carton Weight Wada20061 Continuous (2006) ADA White x 11 Black/No Bar Code Lbs Wada2012cs Laser (2012) ADA White x 11 Black/No Bar Code Lbs 2-Part Item No. Description Paper Size Color/Bar Code Per Carton Weight Wada20062 Continuous (2006) ADA White/Canary x 11 Black/No Bar Code Lbs Wada20122 Continuous (2012) ADA White/Canary x 11 Black/No Bar Code Lbs 1-Part Claim Forms Item No. Description Paper Size Color/Bar Code Per Carton Weight Ccfub041* Continuous Cms-1450 White x 11 OCR Red/No Bar Code Lbs Nlcfub041* Laser Cms-1450 White x 11 OCR Red/No Bar Code Lbs WCMS1500cs* Laser Cms 1500 (08/05) White x 11 OCR Red/No Bar Code Lbs WCMS Continuous Cms 1500 (02/12) White x 14 OCR Red/No Bar Code Lbs WCMS1500CL12 Laser Cms 1500 (Al) (02/12) White x 11 OCR Red/No Bar Code Lbs WCMS1500CS12 Laser Cms 1500 (02/12) White x 11 OCR Red/No Bar Code Lbs Note: Healthcare claim forms (AL) are designed for use in the state of Alabama with a lower right corner cut. *Revised to include NPI. 2-Part Item No. Description Paper Size Color/Bar Code Per Carton Weight Ccfub042* Continuous CMS-1450 White/White x 11 OCR Red/No Bar Code Lbs Wcms15002* Continuous CMS 1500 (08/05) White/Canary x 11 OCR Red/No Bar Code Lbs Wcms Continuous CMS 1500 (02/12) White/Canary x 11 OCR Red/No Bar Code Lbs Wcms15002W12 Continuous CMS 1500 (02/12) White/White x 11 OCR Red/No Bar Code Lbs Wcms1500U212 Ncr Uniset CMS 1500 (02/12) White/Canary x 11 OCR Red/No Bar Code Lbs 9

10 HEALTHCARE FORMS Patient Sign-In Label Form Patient Sign-in Label Form Each patient prints his/her name, appointment time and Name of Healthcare Professional on a numbe line. If using the optional numbe label, patient takes the number. The office staff removes the signed name label and either adds to the patient file or to a workflow tracking system. Once the label has been removed, the information is protected behind part one. Available only for office use. The front desk attendant calls each patient by name or number. Each package contains 125 forms, numbe 1 through 25, or enough forms to see 3125 patients. NEW! Out-0f-Country format Patient Sign-in Label Form Item No. Color Pkg. Qty. Carton Qty Weight W-PSGN Blue Lbs W-PSGN-B Burgundy Lbs W-PSGN-GN Green Lbs W-PSGN-BIL Blue Lbs W-PSGN-OOC Blue Lbs W-PSGN W-PSGN-B W-PSGN-GN W-PSGN-BIL Confidential Sign-In Label Form Item No. Color Pkg. Qty. Weight W-CSGN White/ellow Lbs Confidential Forms W-PSGN-OOC W-CSGN 3-Part Patient Sign-in System 3-Part Patient Sign-in System Each patient prints his/her name, arrival time and Name of Healthcare Professional on a numbe slip, then removes it. Once the patient removes the slip, the information is protected behind the carbonless paper available only for office use. The front desk attendant reads the log and calls each patient by name or number. Each kit contains 40 sets, numbe 1 through 25, or enough slips to see 1,000 patients. W-SGNKIT (Pegboard Board W1185BL plus 1,000 Patient Slips) 10 3-Part Patient Sign-in System Item No. Description Pkg. Qty. Weight W-SGNKIT 3-Part Sign-in System 40 7 Lbs. W-JSGN Patient Slips 40 6 Lbs. W-JSGN (1,000 Patient Slips)

11 HEALTHCARE FORMS Healthcare Bags Healthcare Bags Item No. Description Color Size Per carton Weight w-pvb-10 Patient Valuables Bag - Tamper Evident Clear 10 x lbs. W-PVB-10 Valuables Envelope Valuables Envelope Item No. Color Size Per Carton Weight W-VE-912 White x lbs. W-PVE-912 White x lbs. W-VE-912 W-PVE

12 HEALTHCARE ENVELOPES Claim Form Envelopes (24 Lb. White Wove) Claim Form Envelopes Item No. Product Description Plain/ Inside Tint Window From From Imprint Overall Size =es N-No Size Left Bottom Weight/Box 500/Box WADA2002ENVSSI ADA 2002 Self-Seal Envelope Imprint x x Lbs WADA2002ENVSSPL ADA 2002 Self-Seal Envelope Plain x x Lbs WCMENVPL ADA06-UB04 Gum Window Envelope Plain x x Lbs WCMENVI ADA06-UB04 Gum Window Envelope Imprint x x Lbs WCMENVSSPL ADA06-UB04 Self-Seal Envelope Plain x x Lbs WCMENVSSI ADA06-UB04 Self-Seal Envelope Imprint x x Lbs WHCF10ENV Gum Window Envelope Imprint x x Lbs WHCF10ENVPL Gum Window Envelope Plain x x Lbs WHCF10ENVWL Self-Seal Window Envelope Imprint x x Lbs WHCF10ENVWLPL Self-Seal Window Envelope Plain x x Lbs WHCF10ENVSS Self-Seal Window Envelope Imprint x x Lbs WHCF10ENVSSPL Self-Seal Window Envelope Plain x x Lbs WHCF15ENVSSI Self-Seal Window Envelope Imprint x x Lbs WHCF15ENVSSPL Self-Seal Window Envelope Plain x x Lbs WHCF1500ENVSSI Self-Seal Window Envelope Imprint 9 x x Lbs WHCF1500ENVSSPL Self-Seal Window Envelope Plain 9 x x Lbs WHCF1500ENVSSBL Self-Seal Window Envelope Plain 9 x x Lbs WHCF1500ENVWLBL Self-Seal Window Envelope Plain 9 x x Lbs WHCF1500ENVWL Self-Seal Window Envelope Plain 9 x x Lbs WHCF1500ENVWLI Self-Seal Window Envelope Imprint 9 x x Lbs WUBENVSS Self-Seal Window Envelope Plain x x Lbs WUBENVSSI Self-Seal Window Envelope Imprint x x Lbs wubenvi Gum Envelope Imprint x x Lbs WUBENVPL Gum Envelope Plain x x Lbs Pre-Inserted Envelope Sets Left Window Envelope Sets Item No. Product Description ES1 ES2 ES3 ES5 ES6 ES7 ES8 ES9 TS100 Self-Seal Window / Rl-4618 #6.75 Regular / Ts100-I #10 Self-Seal Window / Rl-4619 #6.75 Regular / Ts100-I #10 Self-Seal Window / Rl-4619 #9 Regular / Ts-9 Self-Seal Window / Wwswe-Ls #6.75 Regular / Ts100-i #10 Gum Window / Wce-8651-D #9 Regular / Ts-9 #10 Gum Window / Wce-8651-D #6.75 Regular / Ts100-i #10 Window / Wce-8651-St #6.75 Regular / Ts100-i #10 Window / Wce-8651-St #9 Regular / Ts-9 Self-Seal Window / Ts-100-O #6.75 Regular / Ts100-i Outer Color / Inner Color IV, WH, G BL, CAN, GN, G, IV, WH G, IV, WH BL, CAN, GN, IV, WH,G BL, G, IV, WH BL, CAN, GN, G, IV, PK, WH WH BL, CAN, GN, IV, WH WH BL, CAN, GN, G, IV, PK, WH WH BL, CAN, GN, G, IV, WH WH BL, CAN, G, IV, WH WH BL, CAN, GN, G, IV, PK, WH BL, GN, IV, WH BL, CAN, GN, G, IV, WH Outer Size Inner Size x x x x x x x x x x x x x x x x x x Inside Tint =es N-No Window Size From Left From Bottom Weight/Box 250/Set 4 x Lbs x Lbs x Lbs 4 x Lbs N x Lbs N x Lbs x Lbs x Lbs 4 x Lbs Continued on next page 12

13 Pre-Inserted Envelope Sets HEALTHCARE ENVELOPES Right Window Envelope Sets Item No. Product Description TS10WLL #10 Self-Seal Window / Ts-10-Wl #9 Regular / TS-9 TS10WLLS #10 Self-Seal Window / Ts-10-Wl #6.75 Regular / TS100-I TS10WRLL #10 Self-Seal Window / Ts-10-WR TS-10-WR-WH/TS-9-WH 10 Self-Seal Window / Ts-10-WR TS10WRLS TS-10-WR-WH/TS-100-I-WH Outer Color Inner Color BL, WH BL, CAN, GN, G, IV, PK, WH BL, WH BL, CAN, GN, G, IV, WH WH BL, CAN, GN, G, IV, PK, WH WH BL, CAN, GN, G, IV, WH Outer Size Inner Size x x x x x x x x Inside Tint =es N-No Window Size From Left From Bottom Weight/Box 250/Set x Lbs x Lbs x Lbs x Lbs No Window Envelope Sets Item No. Product Description ES10 #10 Gum Window / WCE-8650-D #9 Regular / Ts-9t #10 Self-Seal / Ts-10-Nw TS10NWLS #6.75 Regular / Ts-100-I TS10NWLL #10 Self-Seal / Ts-10-Nw #6.75 Regular / Ts-100-I Outer Color Inner Color WH BL, CAN, GN, G, IV, PK, WH WH BL, CAN, GN, G, IV, WH WH BL, CAN, GN, G, IV, PK, WH Outer Size Inner Size x x x x x x Inside Tint =es N-No N Weight/Box 250/Set 5.4 Lbs 5.3 Lbs 6.4 Lbs Minimum order is 500 sets (2 boxes of 250 sets). Please specify color of outside and inner envelope when ordering (i.e. TS1000BL/CAN is outer with canary inner envelope. Left Window Envelopes (24 Lb. Wove) Plain/ Overall Inside Tint Window From From Item No. Product Description Color Imprint Size =es N-No Size Left Bottom RL4618 Self-Seal Window, Side Seam IV, WH Imprint x x RL4619 #10 Self-Seal Window, Side Seam BL, G, IV, WH Imprint x x RL4618PL Self-Seal Window, Side Seam IV, WH Plain x x RL4619PL #10 Self-Seal Window, Side Seam BL, G, IV, WH Plain x x TS10WL #10 Self-Seal Window, Side Seam BL, WH Imprint x x TS100O Self-Seal Window BL, GN, IV, WH Imprint x x Right Window Envelopes Envelopes Sold Individually Plain/ Overall Inside Tint Window From From Item No. Product Description Color Imprint Size =es N-No Size Left Bottom TS10WR #10 Self-Seal Window, Side Seam WH Imprint x x TS10WRPL #10 Self-Seal Window, Side Seam WH Plain x x No Window Envelopes Item No. Product Description Color Plain/ Imprint Overall Size Inside Tint =es N-No TS100I Side Seam, Reply BL, CAN, GN, G, IV, WH Imprint x TS9 #9 Regular Side Seam, Reply BL, CAN, GN, G, IV, PK, WH Imprint x TS9PL #9 Regular Side Seam, Reply BL, CAN, GN, G, IV, PK, WH Plain x TS10NW #10 Self-Seal, 24 Lb White Wove WH Imprint x (24# WH Wove) Please specify color when ordering. 13

14 COMPATIBLE FILE FOLDERS 11 Pt. File Folders Our durable, high-quality end-tab folders are constructed of heavy-duty manila stock with an undercut tab design. They are ideal for medical, dental, insurance and banking industries. Alignment marks make labeling easy. Fasteners are applied in the correct positions every time. All our end-tab folders are double-ply, with 2 bonded fasteners. Other fastener positions available Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab ( w x h) Barkley Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W-1190 Manila None W-1190F6 Manila F6 Position 1 W-1190F26 Manila F26 Positions 1 & 3 W-1190F36 Manila F36 Positions 3 & 5 Jeter Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W Manila None W Manila Position 1 W Manila Positions 1 & 3 W Manila Positions 3 & 5 Smead Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W Manila ET2-150L None W Manila BET2-150L-1 Position 1 W Manila BET2-150L-1&3 Positions 1 & 3 W Manila BET2-150L-3&5 Positions 3 & 5 W-1500 Choose color ET2-150L None W-1501 Choose color ET2-150L Position 1 W-1502 Choose color ET2-150L Positions 1 & 3 Letter-Size, Cheshire Linen, 3/4 Cut, Double-Ply, End Tab ( w x h) Specialty Folder Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Fastener Position W-9058 Choose color Positions 1 & 3 High profile, high quality... ideal for medical, legal and accounting industries. Burgundy Navy RD-Red OR-Orange BL-Blue GD-Goldenrod PK-Pink WH-White GR-Gray LV-Lavender L-ellow GN-Green Gray Dark Green Letter-Size, 1/3 Cut, Double-Ply, End Tab ( w x h) Smead Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Fastener Position W-9042 Choose color Positions 1 & 3 Letter-Size, 3/4 Cut, End Tab with Built-in Pocket ( w x h) Smead Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W-9004 Manila ET2-350L-1 Position 1 W-9005 Manila ET2-300L None W-9006 Choose color N/A Position 1 W-9007 Choose color N/A None RD-Red OR-Orange BL-Blue GD-Goldenrod PK-Pink WH-White GR-Gray LV-Lavender L-ellow GN-Green 14

15 11 Pt. File Folders COMPATIBLE FILE FOLDERS Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab ( w x h) Jeter Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Pos. W Manila None W-9044 Choose color N/A None Letter-Size, Full Cut, Standard Double-Ply, End Tab with Full Pocket ( w x h) Smead Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Pos. W-9014 Manila None W-9015 Manila N/A Position 1 W-9016 Manila N/A Positions 1 & 3 W-9017 Choose color N/A None W-9018 Choose color N/A Position 1 W-9019 Choose color N/A Positions 1 & 3 Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab w/inside front pocket ( w x h) Smead Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Pos. W-9012 Manila None W-9013 Manila Position 3 Choose Color RD-Red OR-Orange BL-Blue GD-Goldenrod PK-Pink WH-White GR-Gray LV-Lavender L-ellow GN-Green Letter-Size, Standard Single-Ply with Top Loading Pocket ( w x h) Top Loading Pocket Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W-9047 Choose color N/A None Side-sealed pocket alignment marks on both top and end-tab edge w x h Letter-Size, Double-Ply with Top Loading Pocket ( w x h) Top Loading Pocket Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W-9076 Choose color N/A None Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab with Double Pocket ( w x h) Barkley Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Pos. W-9050F Manila DDPEM None W-9063 Manila N/A Position 1 W-9093 Manila N/A None Letter-Size, Full Cut, Standard Double-Ply, End Tab ( w x h) Jeter Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W Manila None W Manila Position 1 W Manila Positions 1 & 3 W Manila Positions 3 & 5 Other fastener positions available One pocket is deep, the other is 5 deep. Full Cut U-File M Binder Strips W

16 COMPATIBLE FILE FOLDERS 11 Pt. File Folders Mini-Size, Single-Ply, End Tab (9 1 2 w x 6 h) Standard in the optical industry. A perfect way to contain small records or records with few documents (just fold the document in half). Mini-size, color-coding alpha and numeric labels available for this system. Jeter Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W Manila None W Manila None Mini Size Standard Mini Pocket Folder (left side closed) Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab with Full Diagonal Pocket ( w x h) Smead Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Fastener Position W-9065 Manila None W-9066 Manila Positions 1 & 3 Letter-Size, Full Cut, Standard Double-Ply, End Tab with Thumb-Cut Twin Full Pockets ( w x h) Specialty Folder Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W-9068 Manila N/A Positions 1 & 3 Full Diagonal Pocket 2 binder fasteners Letter-Size, Full Cut, Standard Double-Ply, End Tab with Full Pocket ( w x h) Smead Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Fastener Position W-9069 Manila None W-9070 Manila Positions 1 & 3 Full Pocket Letter-Size, Full Cut, Double-Ply, End Tab with Double Pocket ( w x h) Smead Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Fastener Position W-9071 Manila None W-9072 Manila Positions 1 & 3 Double Pocket Letter-Size, 3/4 Cut, End Tab with Built-in Double Pockets ( w x h) Smead Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Fastener Position W-9113 Manila None Double Pocket 14 Pt. File Folders Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab ( w x h) Barkley Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W-1590 Manila None W-1590F6 Manila F6 Position 1 W-1590F26 Manila F26 Positions 1 & 3 W-1590F36 Manila F36 Positions 3 & 5 3/4 Cut 16

17 14 Pt. File Folders Letter-Size, Full Cut, Standard Double-Ply, End Tab ( w x h) COMPATIBLE FILE FOLDERS Jeter Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W Manila None W Manila Position 1 W Manila Positions 1 & 3 W Manila Positions 3 & 5 Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab ( w x h) Jeter Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W Manila None W Manila Position 1 W Manila Positions 1 & 3 W Manila Positions 3 & 5 Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab ( w x h) Smead Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W Manila ET2-200L None W Manila BET2-200L-1 Position 1 W Manila BET2-200L-1 & 3 Positions 1 & 3 W Manila BET2-200L-3 & 5 Positions 3 & 5 W-1601 Choose color BET-200L Position 1 W-1602 Choose color BET-200L Positions 1 & 3 Letter-Size, 3/4 Cut, End Tab with Expansion ( w x h) Smead Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W-9095 Manila ETW2-200L None W-9096 Manila BETW2-200L Positions 1 & 3 W-9077 Choose color ETW2-200L None W-9078 Choose color BETW2-200L Positions 1 & 3 Letter-Size, 3/4 Cut, End Tab with Built-in Pocket ( w x h) Smead Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W-9008 Manila ET2-350L Position 1 W-9009 Manila N/A None W-9010 Choose color N/A Position 1 W-9011 Choose color N/A None Full Cut Expansion RD-Red OR-Orange BL-Blue GD-Goldenrod PK-Pink WH-White GR-Gray LV-Lavender L-ellow GN-Green Full Cut, 3 Fasteners & 1 Divider ( w x h) Jeter Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W Manila Positions 1 & 3 Full Cut, with Fastener & Pocket ( w x h) Jeter Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W Manila Position 1 Twin-prong fastener, factory glued divider with printed alignment marks Single pocket glued to inside front cover 17

18 COMPATIBLE FILE FOLDERS 14 Pt. File Folders Standard Single-Ply, Top-Loading Pocket ( w x h) Top Loading Pocket Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W Manila Jeter None Side-sealed pocket alignment marks on both top and end-tab edge w x h Full Cut Top Opening Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab Pocket w/slant Cut Front ( w x h) Speciality Folder Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W-9045 Manila N/A None Letter-Size, Full Cut, Mylar Reinforced Spine, End tab ( w x h) Top Loading Pocket Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W-9122 Manila N/A Position 1&3 Reinforced mylar spine. 18 Pt. File Folders Letter-Size, Mylar Reinforced Spine ( w x h) Specialty Folder Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener W-9086 Manila N/A None W-9087 Manila N/A 2 Bonded Fasteners Reinforced mylar spine. 20 Pt. File Folders Letter-Size, 3/4 Cut, Expansion Folder with Pocket Divider ( w x h) Specialty Folder Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener W-9040 * Choose color N/A 4 Bonded Fasteners W-9041 ** Choose color N/A 6 Bonded Fasteners *Single pocket with expansion folder **Two pockets with expansion folder RD-Red BL-Blue L-ellow GN-Green Classification Folders Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab ( w x h) 11 Pt. Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W-9141 Manila N/A Positions 1 & 3 Divider with fastener on both sides. 18

19 Classification Folders COMPATIBle File Folders Letter-Size, 3/4 Cut, Standard Double-Ply, End Tab with 32 Pt. Dividers ( w x h) 14 Pt. Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener W-9239 * Choose color N/A 4 Fasteners W-9240 ** Choose color N/A 6 Fasteners *One divider with 2 expansion folder **Two dividers with 3 expansion folder Sturdy mylar gusset. RD-Red BL-Blue L-ellow LV-Lavender GN-Green File Dividers File folder Accessories Letter-Size, Top Hinge Divider (8 1 2 w x h) 11 Pt. Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible Fastener Position W Manila Jeter 1636 Positions 1 or 3 Two fastener punched Embossed position marks around edges as guides for standard index label placement. Includes 1 bonded top fastener. holes allow installation into file folder. See Pg. 49 for medical and solid color index labels. Letter-Size, Fileback Pocket Divider (8 1 2 w x 12 h) 11 Pt. Item No. Folder Color Per Pkg. Per Carton Lbs./Carton W-9079 Manila bonded fastener for installing papers or another divider. Divider has pocket on the front. Letter-Size, Pressure-Sensitive Insertable File Divider (9 1 2 w x 11 h) 11 Pt. Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible W Manila 100 1, Jeter & PMA SF11SA Embossed position marks around edges as guides for standard index label placement. Pressure-sensitive adhesive strip along side for easy attachment to any top-code or end-code file folder. Divide contents of a file folder. Die-cut to allow installation of a twin prong fastener, Item# W-103-TP available on page 11 (1 1 2 prong capacity). 19

20 FILE FOLDER ACCESSORIES File Dividers Letter-Size, Pressure-Sensitive Insertable File Divider with Fasteners (9 1 2 w x 11 h) 11 Pt. Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible W-9110 Manila Smead SF11TPB Self-adhesive tape for easy 1 Duo Fastener on both sides of the divider. installation. Letter-Size, Pocket Divider (9 1 2 w x 11 h) 11 Pt. Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible W-9111 Manila Smead SFP11SAB Self-adhesive tape for easy installation deep pocket on each side. Outguides Letter-Size, Vinyl Outguides ( w x h) Jeter Item No. Outguide Color Per Pkg. Lbs./Carton W Red W Blue W ellow W Green Letter-Size, Manila Outguides ( w x h) 18 Pt. Item No. Folder Color Per Carton Lbs./Carton W-9112 Manila The perfect way to control documents when removed from the file cabinet. RD-Red BL-Blue L-ellow GN-Green OUT printed on both sides. 150 entry spaces 75 on each side and bottom tab 20

21 FILE FOLDER ACCESSORIES Medical Radiology Radiology & Dental & Dental Jackets, Jackets Medical Index Tabs Standard X-Ray Preprinted Jacket with 3/4 Expansion ( w x h) Jeter (11 Pt.) Item No. Color Per Pkg. Lbs./Carton Compatible W-150-S Manila Printed in on front and back. Letter-Size, Dental File Jacket ( w x h) Smead (11 Pt.) Item No. Color Per Pkg. Per Carton Lbs./Carton Compatible W-9104 Manila ET holes in front panel. Medical Index Tabs - Standard (11 w x h, 1/2 Tab) W-HCI (Tab Set) Position Subject Color 1 History / Physical Orange 2 Medication / Progress Notes Lt. Green 3 Lab Pink 4 X-Ray / EKG ellow 5 Insurance / Correspondence Clear 6 Hospital / Consultation Medium Blue 7 Miscellaneous Purple One bank of seven tabs per index set. HISTOR / PHSICAL MEDICATION / PROGRESS NOTES LAB X-RA / EKG INSURANCE / CORRESPONDENCE HOSPITAL / CONSULT MISCELLANEOUS 100# manila tag stock with mylar-coated colo tabs ( text imprint). Punched at top and side accommodates file fasteners, center to center. 21

22 FILE FOLDER ACCESSORIES Self-Adhesive, Poly-Adhesive, Vinyl & Lock-It Pockets Self-Adhesive Twin Pocket (9 w x h) Twin Pocket Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible W-9049 Manila N/A Self-Adhesive Single Pocket (8 1 2 w x 5 h) Twin Pocket Item No. Folder Color Per Pkg. Per Carton Lbs./Carton Compatible W-9116 Manila N/A Self-Adhesive Poly Pockets (9 w x h) 5 mil. Thick Item No. Description Overall Size Inside Dimension W-2505P I.D. Card 3 x x W-2520P 3 x x x W-2544P 4 x 6 5 x x 6 W-014P 5 x x x 3 W-2554P 6 x 4 7 x x W-2564P x x x W-2552P x x x Note: First dimension is the side that is open. Pocket is smooth. Measuring Poly Pockets: The dimensions given are Overall Size. The first dimension is the open side, thus the W-014P (illustrated at right) is read as x The seals on the Poly Pockets are approximately 1/4 from the outside edges. The height of the pocket is 1/4 shorter than the back material. The pocket width on the W-014P is ( /4-1/4 ). The pocket height is 3 ( /4-1/4 ) deep pocket 5 deep pocket Twin Pocket has two self-adhesive strips for easy installation. No more misplaced documents! These pockets simplify filing and organization. Simply peel off the backing paper and stick these self-adhesive pockets to file folders, binders, report jackets, or wherever needed. Packaged in quantities of 100. Vinyl Pockets with White Backing 8 mil. Thick Item No. Description Overall Size Inside Dimension W-241V 6 x x x W-2260V 9 x x x Note: First dimension is the side that is open. Pocket is textu. Lock-It Pocket 3 mil. Thick Item No. Description Overall Size Inside Dimension W-007L Small Pocket x x W-019L Large Pocket x 10 6 x 9 Note: First dimension is the side that is open. 22

23 Fasteners FILE FOLDER ACCESSORIES Fasteners Jeter Item No. Per Package W W-103-TP 100 W pressure-sensitive, two-prong, fastener with high-tack rubber adhesive backer W-103-TP fasteners hold contents neat and secure on both sides of the folder divider prong capacity (installation instructions included). Name Labels & File Folder Label Protectors Name Labels Name Labels (Fan-Folded) Item No. Per Package Description W ,000 5/8 x Name Label W ,000 5/8 x Mini Name Label Name Label 5/8 5/8 Name fan-folded labels with alignment marks allow for the addition of first name and surname. Pin fed punched for computer printer s double feed. Perforated for easy separation. Use with Alpha Labels Mini Name Label Mylar File Folder Label Protectors Premium Mylar (2 mil.) Item No. Per Package Description W-ETP x 8 End Tab Protector W-ETP x 11 Folder Spine Protector W x Name Label Protector W x Mini Name Label Protector Layflat Liner Increase the life of your folder. Wrap these labels around folders to protect folder from everyday wear and tear. Made of clear, 2 mil. premium mylar. 23

24 CUSTOM FOLDERS & ACCESSORIES Custom Folders Make the folder work for you. Don t work around the folder! Custom folders give you the flexibility to choose the printing, fastener locations, labels, pockets and more! Leave the assembly to us. Custom Folders. As unique as you need. 11-, 14-, or 15-point stock Single reinforced Fasteners: bonded, embedded, twin prong, custom clip Custom Capabilities: Custom printing Strip labels attached to folder (compatible with all popular label systems) Tinting Assembly and fulfillment Tyvek gussets W fold in spine with expansion Stitched-in dividers Poly and paper pockets available Custom Applications Any office can improve efficiency when maintaining and researching files! Doctor, dentist, lawyer, financial investor, product manager, sales consultant...what does each profession have in common? Files! What s the best system to use? The one that works for OUR business. General Industry Custom Applications. For chart dividers, indexes and filebacks. Improve office efficiency when maintaining and researching files. Easily identify custom folders, dividers, filebacks, and/or indexes. Record specific information about a patient, client, or product. Medical, Clinical, Dental Legal 24

25 CUSTOM DIVIDER Systems ou make the choices. We ll make the finished product! Custom Options: Special sheet sizes Special papers Body printing Assembly Fulfillment General Specifications Custom Bank of 3-1/3 cut Bank of 4-1/4 cut Bank of 5-1/5 cut Bank of 6-1/6 cut Bank of 7-1/7 cut Bank of 8-1/8 cut Chart Dividers 90# white or ivory Reinforced tabs and holes Different punching configurations available (3-hole, 5-hole, 7-hole top & side) Chart Dividers Chart Dividers Filebacks 110# ivory index Top or side-sco hinge with reinforced slot holes 3/8 tab extension 2 bonded fastener Reinforced tabs (clear or color) Filebacks Filebacks Transfer Tape Filebacks 110# ivory index Side hinge with tape Two 2 bonded fasteners (1 on each side) Reinforced tabs (clear or color) Transfer Tape Filebacks Tear-resistant available as an alternative to poly or Tyvek. STANDARD TAB COLORS M-105 CLEAR M-205 RED M-405 DARK BLUE M-425 MEDIUM BLUE M-305 ELLOW M-605 DARK GREEN M-625 MEDIUM GREEN M-505 ORANGE M-805 PURPLE M-705 PINK M-415 LIGHT BLUE M-115 GRA M-315 LIGHT ELLOW M-915 BROWN M-615 LIGHT GREEN M-515 LIGHT AMBER 25

26 CUSTOM FOLDERS & ACCESSORIES Custom Dividers The durable, cost-effective index dividers offers a range of index strength with optimum flexibility in customizing your filing or binding system. Choose from colo sheets in polyethylene, white SynthaTab or Tyvek and color code the tabs. Polyethylene Dividers Polyethylene dividers provide the most rigid durability. These dividers are perfect for high-usage areas where there is a risk of exposure to liquids, fluids or extreme temperature variations. Order Polyethylene dividers in different sheet colors to coordinate with most filing and color coding systems. Plus, you can customize tab titles and body copy for maximum flexibility. Tab titles are printed on the tab with ink and are available in side or bottom tab formats Mauve 834-Orange 562-Beige 1841-Blue 081-Ivory 608-Green 517-Gold 133-Blue 360-Lime Due to variances in printing or computer monitor color depth, the actual Polyethylene colors may vary slightly from the examples. Actual Polyethylene samples are available upon request. 882-Lavender 078-ellow 325-Teal 184-White 777-Dark Blue 182-Pink 251-Dusty Rose 048-Light Gray 999-Natural 169-Peach 062-Gray 489-Red 359-Maroon 905-Azure Tyvek Dividers Tyvek dividers are durable and virtually rip-proof. Although not meant to withstand wet or caustic environments, Tyvek is the perfect choice when strength and durability is important. Tyvek sheets are white and can be color coded by fusing color or clear polyester film to the tabs. Tab titles can be customized and printed in or color ink. Tyvek is a registe trademark of Dupont. Call for custom quoting. 26

27 STOCK FOLDERS & ACCESSORIES Legal Products Collated Side Tabs NEW! Item No. DESCRIPTION W Avery Style Collated Side Tab A-Z W Avery Style Collated Side Tab AA-ZZ W Avery Style Collated Side Tab AAA-ZZZ W Avery Style Collated Side Tab 1-10 W Avery Style Collated Side Tab Exhibit A-Z W Avery Style Collated Side Tab Exhibit 1-20 W Avery Style Collated Side Tab Exhibit W Avery Style Collated Side Tab Roman Numeral I-X Legal index tabs Collated Bottom Tabs NEW! Item No. DESCRIPTION W Avery Style Collated Bottom Tab A-Z W Avery Style Collated Bottom Tab 1-25 W Avery Style Collated Bottom Tab Exhibit A-Z W Avery Style Collated Bottom Tab Exhibit 1-25 W Avery Style Collated Bottom Tab Exhibit W Avery Style Collated Bottom Tab Exhibit W Avery Style Collated Bottom Tab Exhibit Top Tab Folders 10 w x h Item No. DESCRIPTION W-FOREIGNPAT- Foreign Patent Application W-DOMPAT- Domestic Patent Application W-USTRDMRK- U.S. Trademark Application End Tab Folders 10 w x h BL-Blue PK-PINK MN-Manila Item No. DESCRIPTION W-FOREIGN-ET Foreign Patent Application W-DOMPAT-ET Domestic Patent Application W-USTRDMRK-ET U.S. Trademark Application Heavy duty to handle bulky files, legal files or any files you need to keep in chronological order. Many colors to choose from! Top Tab Case Binder Item No. Description Size W-9338 Letter-Size w x h W-9339 Legal Size w x h Overall Flap 9 h Body 1/2 cut tab Assorted positions MN-Manila GR-Green L-ellow BL-Blue OR-Orange LV-Lavender GD-Goldenrod RD-Red GR-Gray RR-Redrope End Tab Colo Tag Case Binder Item No. Description Size W-9340 Letter-Size w x h W-9341 Legal Size w x h Overall Flap End Wing 9 h Body MN-Manila GR-Green L-ellow BL-Blue OR-Orange LV-Lavender GD-Goldenrod RD-Red GR-Gray RR-Redrope 27

28 HEALTHCARE-RELATED PRODUCTS HIPAA Products HIPAA requires cove entities to take steps to limit the use and disclosure of PHI, which means that healthcare entities are requi to develop policies and procedures that address protecting the privacy and security of patient information. Civil and criminal penalties have been established if cove entities violate patients rights. The Office of Civil Rights is the oversight agency responsible for HIPAA compliance. Notice of Privacy Practices W-HIP120 & Additional Forms Additional HIPAA Forms Item No. Subject Pkg. Qty. Wt. (lbs.) W-HIP101 HIPAA Employee Training Record 25 8 W-HIP102 HIPAA Practice Training Record 25 1 W-HIP103 PHI Access Log W-HIP104 PHI Disclosure Log W-HIP105 Patient Request for Amendment of Health Information W-HIP106 Patient Request for Accounting of Disclosures W-HIP107 Patient Request to Inspect/Review PHI W-HIP108 Patient Request for Confidential Communications W-HIP109 Patient Request for Restrictions on Use and Disclosure of PHI W-HIP110 PHI Tracking Log W-HIP111 Authorization to Release Information W-HIP120 Notice of Privacy Practices W-HIP120SP Notice of Privacy Practices (Spanish) W-HIPPOST Notice of Privacy W-HIPPOSTSP Notice of Privacy (Spanish) W-HIPBINDEX5 Index (bottom tab) W-HIPSINDEX5 Index (side tab) Includes 250 of form: # of forms: #103 and # W-HIPSTARTA 50 of forms: #105, #106, #107, #108, #109, #110 5 of forms: #101 and #102 Plus a FREE NPP Poster at NO Extra Charge! Written Notice of Privacy Practices must be provided to patients on or before the first encounter and to other persons upon request. The Notice notifies the patient of all uses and disclosures of his or her protected health information and outlines all the legal duties of the practice. The form is over seven pages, completely comprehensive and includes all of the key elements requi by HIPAA and more! In addition, the form has a removable label which provides practices with a written acknowledgement that the patient received the Privacy Notice (as requi to be HIPAA compliant), no need for the practice to make copies and file additional paperwork, simply place the label onto the patient folder. This form is also available in Spanish and can also be imprinted. Also available in Spanish W-HIP120SP Poster W-HIPPOST Indexes W-HIPBINDEX5 W-HIPSINDEX5 W-HIPPOST Also available in Spanish W-HIPPOSTSP 28

29 HEALTHCARE-RELATED PRODUCTS Presentation Folders Two great presentation folder options to suit your needs: 1. Standard Folders- When you need to make a lasting impression because our standard folders are anything but standard! Custom designed to your specifications. Most options ship in 24 hours.and shipped in just three days. Plain folders shipped within 24 hours! 2. Special Products and Packaging- With endless options. Most items ship within 3 business days from art approval. Superbills / Encounter / Router Forms For computer input documents, patient routing slips or internalized patient receipts. Custom printed medical procedural codes, descriptions or formats to suit your every practice (illustrations shown are examples.) Custom computer forms are fully compatible with current medical software. Styles include: Continuous, Laser, Unit Set and Pegboard All available in single or multi-part. Superbills are available in one-write, laser or continuous styles both imprinted or plain. WSL53BPL (front) WSL53CPL (middle) WSL53EPL (back) 29

30 COLOR-CODED COMPATIBLE LABELS Features... Functions... and Benefits We offer compatible color-coded labels for a variety of color filing systems including popular systems such as; Barkley, Col R Tab, AmeriFile, GBS/VRE, Jeter, PMA, POS, Safeguard, Smead, TAB and Traco. Choose from: alpha, numeric, month, year, solid and medical label systems available in roll, ring book, and file box styles. Whatever you choose, you are guaranteed a quality label material that ensures fade resistance, bright colors and acrylic adhesive to hold labels longer. Features & Benefits: Mylar Coating protects from discoloration and cracking due to moisture and heat, increasing label life. Kimdura Paper maintains original label form, increasing product durability. High-Quality Adhesive protects the label from lifting off file folders due to humidity, increasing label life. Compatible Labels Manufactu from Special Electronic Measuring Equipment color-coded to match many popular systems ensure color correctness order after order. Alpha, Numeric and Special Classification Labels coded with either letters, numbers or specific unique codes (such as allergy) meet a wide variety of customer needs. Why plan color coding groups? Understanding alpha and second-letter usage to plan ahead results in your largest search group of like colors being small enough unique enough to direct users to a small number of folders. Note, each geographical area has its own last name frequency characteristics. In the U.S., names like Smith and Jones cause filing problems. But, in many other countries/cultures, only a few common last names are sha. In summary, first and second alpha letter usage helps you determine your filing needs. Label Placement Guide Solid color labels indicate specific data about the individual. ear label indicates the most current year of the folder and assists in the orderly retirement of records. Name label contains the full name of the individual. This label indicates the first letter of the individual s last name. This label indicates the second letter of the individual s last name. 30

31 COLOR-CODED COMPATIBLE LABELS System Identification Methods Alphabetic This is the most popular, widely used filing method for systems with less than 5,000 records. File alphabetically by name, individual, company, or any other category. Alphabetic systems allow access to information that does not have to be cross-referenced. By using the first or second letter of a person s last name, a large filing system is uced to manageable units. Alphabetic labels are available in roll, file box and ring book styles. Straight Numeric This system is most often used for large volumes of records exceeding 5,000 records to arrange files by number, in sequential order, from the lowest to highest number. There are no duplication of files as each number is unique. This system increases file confidentiality when referencing the number to an alphabetic cross-reference, and works well with applications like invoices, account numbers, insurance claims, etc. Terminal Digit This system works well with large volumes of records exceeding 10,000 records or have records that may have voids in their numeric sequence. The files are arranged numerically so file numbers having the same last two digits are grouped together. While these file numbers are numeric in sequence, file location is determined by reading the last two digits from left to right. Each filing area is divided into 100 equal sections (00-99), making file expansion and contraction easier while eliminating back shifting of files. Because the first four digits of terminal filing are usually filed in straight numeric sequence, you would find a file labeled between and ear Labels This filing method lets you know at a glance if folders are older or less active and should be removed to free up valuable shelf space. Many operations attach a year label to a file folder at the time the new folder is created to record its origin date. ear labels come 500 labels per roll packaged in a self-dispensing box, unless noted otherwise. Prior year labels available. We carry a full line of compatible year labels. See our CFP-LG brochure! Communication Labels for Healthcare Use these fluorescent communication labels to convey critical information about a patient, making communication clearer. Communication labels will help prevent mistakes due to poor penmanship. Alpha coding s two positions create important color groupings. Straight numeric color-coding filing system features bold, large digits for improved visibility. Solid Color & Special Classification Labels Use these labels for assigning special territories, cit classifications, certain litigation, types of illnesses or any special coding requirements unique to your office. Use our medical labels to code patient folders requiring special recognition. Index Labels Printed index sheet medical chart/label category or solid colors designed to use with dividers. Identification of Folders Temporarily Pulled From Their Location Out Guides have vinyl pockets to identify folders that have been removed temporarily and continue to hold needed information in place until the original file is returned. They come in bright colors such as,, and vinyl, making it easy to keep track of removed folders. A 1,000-division terminal digit system with random numbers. Custom pre-numbe, pre-colo folders increase folder identification! Numbers, letters, names and barcodes can all be preprinted to meet your particular application needs. 31

32 ALPHABETIC COMPATIBLE Labels Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. W-1500 Series W-1400 Series W-4800 Series W-1600 Series /16 1-1/2 1-1/2 1-1/2 1-1/4 Barkley Compatible Alpha Roll Labels Col R Tab Compatible Alpha Roll Labels COLWELL JEWEL TONE Compatible Alpha Roll Labels GBS/VRE Compatible Alpha Roll Labels W-1500-A W-1400-A lt W-4800-A W-1600-A dk W-1500-B W-1400-B W-4800-B ruby W-1600-B W-1500-C W-1400-C W-4800-C jade W-1600-C W-1500-D dk W-1400-D W-4800-D W-1600-D W-1500-E W-1400-E gold W-4800-E aqua W-1600-E W-1500-F W-1400-F W-4800-F fuschia W-1600-F lt W-1500-G lavender W-1400-G W-4800-G dk coral W-1600-G W-1500-H W-1400-H W-4800-H W-1600-H W-1500-I W-1400-I W-4800-I grape W-1600-I W-1500-J gold W-1400-J tan W-4800-J lt W-1600-J W-1500-K W-1400-K W-4800-K cobalt W-1600-K gold W-1500-L lt W-1400-L W-4800-L hot W-1600-L W-1500-M W-1400-M W-4800-M teal W-1600-M W-1500-Mc white W-1400-Mc wht/ W-4800-Mc W-1600-Mc pur/wh W-1500-N W-1400-N lt W-4800-N W-1600-N dk W-1500-O W-1400-O W-4800-O ruby W-1600-O W-1500-P W-1400-P W-4800-P jade W-1600-P W-1500-Q dk W-1400-Q W-4800-Q W-1600-Q W-1500-R W-1400-R gold W-4800-R aqua W-1600-R W-1500-S W-1400-S W-4800-S fuschia W-1600-S lt W-1500-T lavender W-1400-T W-4800-T dk coral W-1600-T W-1500-U W-1400-U W-4800-U W-1600-U W-1500-V W-1400-V W-4800-V grape W-1600-V W-1500-W gold W-1400-W tan W-4800-W lt W-1600-W W-1500-X W-1400-X W-4800-X cobalt W-1600-X gold W lt W W hot W W-1500-Z W-1400-Z W-4800-Z teal W-1600-Z 32 Polylaminated. Compatible labels to match Barkley s ABKM series. Complete set of 27 rolls, A-Z including Mc, packaged in a display carton... W labels per roll packaged in a self-dispensing box. Polylaminated. Compatible labels for Col R Tab s series (N-Z Striped). Complete set of 27 rolls, A-Z including Mc, packaged in a display carton... W-1400 Polylaminated. Compatible to Colwell s Jewel Tone labels. Complete set of 27 rolls, A-Z including Mc, packaged in a display carton... W labels per roll packaged in a self-dispensing box. Polylaminated. Compatible labels to match GBS/VRE s 8850 series. Complete set of 27 rolls, A-Z including Mc, packaged in a display carton... W-1600

33 Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. W-2600 Series ALPHABETIC COMPATIBLE Labels W-2600 Series W-1100 Series W-P1100 Series 1-5/16 1-5/16 15/16 15/16 1-1/4 GBS/VRE Compatible Alpha Ring Book Starter Set One vinyl three-ring binder contains: 2,340 Alpha codes proportioned to expected usage (A-16, B-6, C-7, D-4, E-11, F-3, G-3, H-6, I-7, J-2, K-3, L-5, M-5, Mc-1, N-2, O-12, P-4, Q-1, R-8, S-7, T-4, U-5, V-1, W-4, X-1, -1, Z-1). Complete set includes: 27 solid, color-coded labels, each of four colors (,, and ), plus one complete set of 28 alpha indexes for easy reference. 1-1/4 GBS/VRE Compatible Alpha Ring Book Refill Pages W-2600-A W-2600-B W-2600-C W-2600-D W-2600-E W-2600-F W-2600-G W-2600-H W-2600-I dk lt 1-5/8 JETER Compatible Alpha Roll Labels W-1100-A W-1100-B W-1100-C W-1100-D W-1100-E W-1100-F W-1100-G W-1100-H W-1100-I fl * white lt 1-5/8 JETER Compatible Alpha File Box Refill Sheets W-P1100-A W-P1100-B W-P1100-C W-P1100-D W-P1100-E W-P1100-F W-P1100-G W-P1100-H W-P1100-I fl * white lt Total 2,448 labels...w-2600 Ring Book Size x W-2600-J W-2600-K W-2600-L gold W-1100-J W-1100-K W-1100-L dk tan W-P1100-J W-P1100-K W-P1100-L dk tan W-2600-M W-1100-M W-P1100-M W-2600-Mc /wht W-1100-Mc /wht W-P1100-Mc /wht W-2600-N dk W-1100-N fl * W-P1100-N fl * W-2600-O W-1100-O W-P1100-O W-2600-P W-1100-P W-P1100-P W-2600-Q W-1100-Q wht/ W-P1100-Q wht/ W-2600-R W-1100-R W-P1100-R W-2600-S lt W-1100-S W-P1100-S W-2600-T W-1100-T lt W-P1100-T lt W-2600-U W-1100-U W-P1100-U W-2600-V W-1100-V W-P1100-V W-2600-W W-1100-W dk W-P1100-W dk W-2600-X gold W-1100-X tan W-P1100-X tan W W W-P1100- W-2600-Z W-1100-Z wht/ W-P1100-Z wht/ Use with Ring Book Set. 10 labels on 20 sheets. 200 labels per polybag. Sold by individual letter. Compatible labels for GBS/VRE s 8848 series... W-2600 Polylaminated. Compatible labels for Jeter s 7200 series. Complete set of 27 rolls, A-Z including Mc, packaged in a display carton... W-1100 *Indicates fluorescent colors Use with Alpha File Box. 9 labels on 25 sheets. 225 labels per package. Sold by individual letter. Compatible labels for Jeter s 7300 series. For complete set, with file box & indexes...w-p1100 *Indicates fluorescent colors 33

34 ALPHABETIC COMPATIBLE Labels Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. W-1110 Series W-1120 Series W-2100 Series W-2100 Series 15/16 3/4 15/16 15/16 1-5/8 1-1/2 1-5/8 1-5/8 JETER Compatible Alpha Roll Labels Label Item No. W-1110-A W-1110-B W-1110-C W-1110-D W-1110-E W-1110-F W-1111-F W-1110-G W-1110-H W-1110-I W-1110-J W-1110-K W-1110-L W-1110-M Color lt dk (TAB) salmon lt dk JETER Compatible Mini-Alpha Roll Labels W-1120-A W-1120-B W-1120-C W-1120-D W-1120-E W-1120-F W-1120-G W-1120-H W-1120-I W-1120-J W-1120-K W-1120-L W-1120-M white lt gold dk JETER Compatible Alpha Ring Book Starter Set One vinyl three-ring binder contains: 3,120 Alpha codes proportioned to expected usage (A-16, B-6, C-7, D-4, E-11, F-3, G-3, H-6, I-7, J-2, K-3, L-5, M-5, Mc-1, N-2, O-12, P-4, Q-1, R-8, S-7, T-4, U-5, V-1, W-4, X-1, -1, Z-1). Complete set includes: 27 labels, each of four colors (,, and ). Total 3,471 labels...w-2100 Ring Book Size x JETER Compatible Alpha Ring Book Refill Pages W-2100-A W-2100-B W-2100-C W-2100-D W-2100-E W-2100-F W-2100-G W-2100-H W-2100-I W-2100-J W-2100-K W-2100-L W-2100-M fl * white lt dk tan W-1110-Mc W-1120-Mc /wht W-2100-Mc /wht W-1110-N W-1120-N W-2100-N fl * W-1110-O W-1120-O W-2100-O 34 W-1111-O W-1110-P (TAB) t W-1110-Q W-1110-R W-1110-S W-1110-T W-1110-U W-1110-V W-1110-W W-1110-X W W-1110-Z salmon lt dk Polylaminated. Compatible labels for Jeter s 5100 series. Complete set of 27 rolls, A-Z including Mc, pkged in display carton. (Jeter ellow F&O)...W-1110 (Tab Blue F&O)... W-1111 W-1120-P W-1120-Q W-1120-R W-1120-S W-1120-T W-1120-U W-1120-V W-1120-W W-1120-X W W-1120-Z white lt gold dk Polylaminated. Compatible labels to match Jeter s 2900 series. Complete set of 27 rolls, A-Z including Mc, packaged in a display carton... W-1120 W-2100-P W-2100-Q W-2100-R W-2100-S W-2100-T W-2100-U W-2100-V W-2100-W W-2100-X W W-2100-Z white lt dk tan Use with Ring Book Set. 24 labels on 10 sheets. 240 labels per polybag. Sold by individual letter. Compatible labels for Jeter s 5800 series. Ring Book Label Set... W-2100 *Indicates fluorescent colors

35 Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. ALPHABETIC COMPATIBLE Labels W-2120 Series W-2120 Series W-5101BFO W-5102FO W-5100 Series 3/4 3/4 15/16 15/16 1-1/2 JETER Compatible Mini-Alpha Ring Book Starter Set One vinyl three-ring binder contains: 3,105 Alpha codes proportioned to expected usage (A-14, B-5, C-6, D-4, E-9, F-3, G-3, H-5, I-6, J-2, K-3, L-4, M-4, Mc-1, N-2, O-10, P-3, Q-1, R-8, S-6, T-4, U-5, V-1, W-3, X-1, -1, Z-1). Complete set includes: 27 solid labels, each of four colors (,, and ). Total label count 3,456..W-2120 Ring Book Size x /2 Jeter Compatible Mini-Alpha Ring Book Refill Pages W-2120-A W-2120-B W-2120-C W-2120-D W-2120-E W-2120-F W-2120-G W-2120-H W-2120-I W-2120-J W-2120-K W-2120-L W-2120-M W-2120-Mc W-2120-N W-2120-O white lt gold dk blk/wh 1-5/8 JETER/TAB Compatible Alpha File Box Starter Set Refill Set 2,844 labels, no box or index. Refill for W-5101BFO...W-5103 Refill for W-5102FO...W ,844 labels, no box or index. Complete set includes: A-38, B-14, C-16, D-9, E-25, F-7, G-8, H-15, I-7, J-4, K-7, L-13, M-13, Mc-4, N-6, 0-29, P-9, Q-2, R-20, S-18, T-10, U-11, V-3, W-9, X-2, -4, Z /8 JETER/TAB Compatible Alpha File Box Refill Sheets W-5110A W-5111B lt W-5112C dk W-5113D W-5114E W-5115FB W-5116F W-5117G W-5118H lavender W-5119I salmon W-5120J W-5121K lt W-5122L dk W-5124M W-5123Mc W-5125N W-5126OB W-2120-P W-2120-Q W-2120-R W-2120-S W-2120-T W-2120-U W-2120-V W-2120-W W-2120-X W W-2120-Z white lt gold See W-5100 series (next column) for colors. W-5127O W-5128P W-5129Q W-5130R W-5131S W-5132T W-5133U W-5134V W-5135W W-5136X W-5137 W-5138Z lavender salmon lt dk lavender Use with Ring Book Set. 27 labels on 10 sheets. 270 labels per polybag. Sold by individual letter. Compatible labels for Jeter s 2900 series... W-2120 Use with Alpha File Box Kit. 9 labels on 25 sheets. 225 labels per polybag. Sold by individual letter. Compatible labels for Jeter s 5100 series 35

36 ALPHABETIC COMPATIBLE Labels Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. W-1800 Series W-2800 Series W-2800 Series W-2810 Series 15/16 15/16 15/16 15/16 1-5/8 1-5/8 1-5/8 1-5/8 POS Compatible Alpha Roll Labels W-1800-A W-1800-B W-1800-C W-1800-D W-1800-E W-1800-F W-1800-G W-1800-H lavender POS Compatible Alpha Ring Book Starter Set One vinyl three-ring binder contains: 3,120 Alpha codes proportioned to expected usage (A-16, B-6, C-7, D-4, E-11, F-3, G-3, H-6, I-7, J-2, K-3, L-5, M-5, Mc-1, N-2, O-12, P-4, Q-1, R-8, S-7, T-4, U-5, V-1, W-4, X-1, -1, Z-1). Complete set includes: 27 solid color-coded labels, each of four colors (,, and ), and one complete set of 28 alpha indexes for easy reference. POS Compatible Alpha Ring Book Refill Pages W-2800-A W-2800-B W-2800-C W-2800-D W-2800-E W-2800-F W-2800-G W-2800-H lavender POS Compatible Alpha Ring Book Refill Pages W-2810-A W-2810-B W-2810-C W-2810-D W-2810-E W-2810-F W-2810-G W-2810-H lt white gold W-1800-I W-1800-J Total 3,228 labels...w-2800 Ring Book Size x W-2800-I W-2800-J W-2810-I W-2810-J dk W-1800-K W-2800-K W-2810-K W-1800-L W-1800-M W-2810 Series W-2800-L W-2800-M W-2810-L W-2810-M W-1800-Mc W-2800-Mc W-2810-Mc W-1800-N lavender 15/16 W-2800-N lavender W-2810-N 36 W-1800-O W-1800-P W-1800-Q W-1800-R W-1800-S W-1800-T W-1800-U W-1800-V W-1800-W W-1800-X W W-1800-Z lavender Polylaminated. Compatible labels to match POS 3400 series. Complete set of 27 rolls, A-Z including Mc, packaged in a display carton... W /8 POS Compatible Alpha Ring Book Starta Set One vinyl three-ring binder contains: 3,120 Alpha codes proportioned to expected usage (A-16, B-6, C-7, D-4, E-11, F-3, G-3, H-6, I-7, J-2, K-3, L-5, M-5, Mc-1, N-2, O-12, P-4, Q-1, R-8, S-7, T-4, U-5, V-1, W-4, X-1, -1, Z-1). Complete set includes: 27 solid color coded labels, each of four colors (,, and ), and one complete set of 28 alpha indexes for easy reference. Total 3,228 labels...w-2810 Ring Book Size x W-2800-O W-2800-P W-2800-Q W-2800-R W-2800-S W-2800-T W-2800-U W-2800-V W-2800-W W-2800-X W W-2800-Z lavender Use with Ring Book Set. 24 labels on 10 sheets. 240 labels per polybag. Sold by individual letter. Compatible labels for POS 3400 series... W-2800 W-2810-O W-2810-P W-2810-Q W-2810-R W-2810-S W-2810-T W-2810-U W-2810-V W-2810-W W-2810-X W W-2810-Z lt gold dk Use with Ring Book Set. 24 labels on 10 sheets. 240 labels per polybag. Sold by individual letter. Compatible labels for POS 2000 series...w-2810

37 Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. ALPHABETIC COMPATIBLE Labels W-2900 Series W-2900 Series W-1001 Series W-P1001 Series 15/16 15/ /8 1-5/8 1-5/8 1-5/8 Safeguard Compatible Alpha Ring Book Starter Set Safeguard Compatible Alpha Ring Book Refill Pages SMEAD Compatible Alpha Roll Labels SMEAD Compatible Alpha File Box Refill Sheets One vinyl three-ring binder contains: 3,120 Alpha codes proportioned to expected usage (A-16, B-6, C-7, D-4, E-11, F-3, G-3, H-6, I-7, J-2, K-3, L-5, M-5, Mc-1, N-2, O-12, P-4, Q-1, R-8, S-7, T-4, U-5, V-1, W-4, X-1, -1, Z-1). W-2900-A W-2900-B W-2900-C W-2900-D W-2900-E lt lavender lt W-1001A W-1001B W-1001C W-1001D W-1001E dk lt W-P1001-A W-P1001-B W-P1001-C W-P1001-D W-P1001-E dk lt Complete set includes: 27 solid color coded, each of four colors (,, and ), and one complete set of 28 alpha indexes for easy reference. W-2900-F W-2900-G W-2900-H W-2900-I tan dk W-1001F W-1001G W-1001H W-1001I W-P1001-F W-P1001-G W-P1001-H W-P1001-I Total 3,228 labels...w-2900 Ring Book Size x W-2900-J W-2900-K dk W-1001J W-1001K lt W-P1001-J W-P1001-K lt W-2900-L W-1001L W-P1001-L W-2900-M W-1001M W-P1001-M W-2900-Mc W-1001N W-P1001-N W-2900-N lt W-1001O dk W-P1001-O dk W-2900-O lavender W-100t1P W-P1001-P W-2900-P W-1001Q lt W-P1001-Q lt W-2900-Q lt W-1001R W-P1001-R W-2900-R W-1001S W-P1001-S W-2900-S tan W-1001T W-P1001-T W-2900-T dk W-1001U W-P1001-U W-2900-U salmon W-1001V W-P1001-V W-2900-V W-1001W W-P1001-W W-2900-W dk W-1001X lt W-P1001-X lt W-2900-X W-1001 W-P1001- W W-2900-Z Use with Ring Book Set. 24 labels on 10 sheets. 240 labels per polybag. Sold by individual letter. Compatible labels for Safeguard s series... W-2900 W-1001Z 250 labels per roll packaged in a self-dispensing box. Polylaminated. Sold by individual letter. Compatible labels for Smead s Alpha-Z ACC series. W-P1001-Z Use with Alpha File Box Kit. 10 labels on 10 sheets. 100 labels per polybag. Sold by individual letter. Compatible labels for Smead s Alpha-Z ACC series. Desk Set: 2,200 assorted labels in a compact plastic box. Complete with A-Z index set...w-p1001-dk Replacement Set: 2,200 assorted labels without plastic box...w-p1001-rs 37

38 ALPHABETIC COMPATIBLE Labels Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. W-2002 Series W-4500 Series W-P4500 Series W-1300 Series 1-5/ /8 * See actual size below SMEAD Compatible Alpha Sheets 1-1/4 SMEAD/Tab Compatible Alpha Roll Labels Label Item No. Color 1-1/4 SMEAD/Tab Compatible Alpha File Box Refill Sheets 1-1/4 tab Compatible Alpha Roll Labels W-2002AN W-4500-A W-P4500-A W-1300-A W-2002BO W-2002CP W-2002DQ W-2002ER W-2002FS W-2002GT W-2002HU W-2002IV W-2002JW W-2002KX W-2002L W-2002MZ dk lt gold lt W-4500-B W-4500-C W-4500-D W-4500-E W-4500-F W-4500-G W-4500-H W-4500-I W-4500-J W-4500-K W-4500-L W-4500-M fl * dk fl * fl * dk fl * W-4500-MCB (Smead) W-4500-MCG (Tab) fl * W-4500-N W-4500-O W-4500-P W-P4500-B W-P4500-C W-P4500-D W-P4500-E W-P4500-F W-P4500-G W-P4500-H W-P4500-I W-P4500-J W-P4500-K W-P4500-L W-P4500-M fl * dk fl * fl * dk fl * W-P4500-Mc (Smead) W-P4500-N W-P4500-O W-P4500-P W-1300-B W-1300-C W-1300-D W-1300-E W-1300-F W-1300-G W-1300-H W-1300-I W-1300-J W-1300-K W-1300-L W-1300-M W-1300-Mc W-1300-N W-1300-O W-1300-P fl * dk fl * fl * dk fl * fl * W-4500-Q W-P4500-Q W-1300-Q W-4500-R W-P4500-R W-1300-R W-4500-S W-P4500-S W-1300-S /8 1-5/32 5 labels on 20 sheets. 100 labels per poly bag. Sold by individual letter; two letters assigned to each label. Compatible labels for Smead s Alpha-Z NCC Starter Set...W-2002SM W-4500-T W-4500-U W-4500-V W-4500-W W-4500-X W W-4500-Z fl * dk Polylaminated. Compatible with Smead BCCR & TAB s 1383 series. Complete set of 27 rolls, A-Z including Mc, packaged in a display carton... W-4500 SM... W-4500 TAB *Indicates fluorescent colors W-P4500-T W-P4500-U W-P4500-V W-P4500-W W-P4500-X W-P4500- W-P4500-Z fl * dk Use with Alpha File Box Kit. 12 labels on 10 sheets. 120 labels per polybag. Sold by individual letter. Desk Set. 2,484 assorted labels in a compact plastic box. Complete with A-Z index set...w-p4500-dk Replacement set. 2,484 assorted Labels without plastic box... W-P4500-RS W-1300-T W-1300-U W-1300-V W-1300-W W-1300-X W W-1300-Z fl * dk Kimdura-like material. Compatible labels to match TAB s 1283 series. Complete set of 27 rolls, A-Z including Mc, packaged in a display carton. Comes in a 4 horizontal roll box...w-1300 *Indicates fluorescent colors

39 Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. ALPHABETIC COMPATIBLE Labels W-4300 Series W-1320 Series W-4400 Series 1/2 1 1/ /4 1 tab Compatible Alpha Roll Labels tab Compatible Mini-Alpha Roll Labels tab Compatible Mini-Alpha Roll Labels W-4300-A W-1320-A W-4400-A W-4300-B lt W-1320-B fl * W-4400-B lt W-4300-C dk W-1320-C dk W-4400-C dk W-4300-D emerald W-1320-D fl * W-4400-D emerald W-4300-E W-1320-E W-4400-E W-4300-F W-1320-F W-4400-F W-4300-G W-1320-G W-4400-G W-4300-H W-1320-H W-4400-H W-4300-I W-1320-I W-4400-I W-4300-J W-1320-J W-4400-J W-4300-K lt W-1320-K fl * W-4400-K lt W-4300-L dk W-1320-L dk W-4400-L dk W-4300-M emerald W-1320-M fl * W-4400-M emerald W-4300-Mc emerald W-1320-N W-4400-N W-4300-N W-1320-O W-4400-O W-4300-O W-1320-P W-4400-P W-4300-P W-1320-Q W-4400-Q W-4300-Q W-1320-R W-4400-R W-4300-R W-1320-S W-4400-S W-4300-S W-1320-T W-4400-T W-4300-T W-1320-U fl * W-4400-U lt W-4300-U lt W-1320-V dk W-4400-V dk W-4300-V dk W-1320-W W-4400-W W-4300-W W-1320-X W-4400-X W-4300-X W W W W-1320-Z W-4400-Z W-4300-Z 500 labels per roll packaged in a self-dispensing box. Kimdura-like material. Compatible labels to match TAB s 1283 series. Complete set of 27 rolls, A-Z including Mc, packaged in a display carton. Comes in a 3 TAB match horizontal roll box... W-4300 Kimdura-like material. Compatible labels to match TAB s 1278 series. Complete set of 26 rolls, packaged in a display carton... W-1320 *Indicates fluorescent colors Kimdura-like material. Compatible labels to match TAB s 1278 series. Complete set of 26 rolls, packaged in a display carton. Comes in a 3 TAB match horizontal roll box... W

40 NUMERIC COMPATIBLE Labels Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. W-5301 Series W-5200M Series W-5200P Series W-3500 Series 1-1/2 I-7/8 I-7/ /2 I-7/8 I-7/8 1-1/2 ACME/S&W Compatible Numeric Roll Labels AMES Compatible Numeric Roll Labels AMES Compatible Numeric Roll Labels Barkley Compatible Numeric Roll Labels W W M W P W W W M W P W W W M W P W W W M W P W dk W W M W P W W W M W P W W W M W P W lavender W W M W P W W aqua W M W P W W Polylaminated. Compatible labels to match Acme/S&W series. Complete set of 10 rolls, packaged in a display carton... W-5301 W M Mylar. Polylaminated. Compatible labels to match Ames series. Complete set of 10 rolls, packaged in a display carton...w m W P 1000 labels per roll packaged in a self-dispensing box. Paper. Unlaminated. Compatible labels to match Ames series. Complete set of 10 rolls, packaged in a display carton...w p W-5400N Series W-5400D Series W-3400 Series W-4800 Series W gold Polylaminated. Compatible labels to match Barkley s NBKM series. Complete set of 10 rolls, packaged in a display carton.... W /16 1-3/ /2 BARKLE/SFI Compatible Numeric Roll Labels 1-1/2 1-1/2 1-1/2 BARKLE Compatible Numeric Roll Labels Col r tab Compatible Numeric Roll Labels COLWELL JEWEL TONE Compatible Numeric Roll Labels W-5400N-0 W D W W W-5400N-1 lt W D lt W W ruby W-5400N-2 W D W W jade W-5400N-3 W D W W W-5400N-4 W D W W aqua W-5400N-5 W D W gold W fuschia W-5400N-6 W D W W dk coral W-5400N-7 W D W dk W W-5400N-8 W D W W grape W-5400N-9 W D W W lt 40 Polylaminated. Compatible labels to match Barkley FNSFM series. Complete set of 10 rolls, packaged in a display carton... W-5400N-10 Polylaminated. Compatible labels to match Barkley s FDSFM series. Complete set of 10 rolls, packaged in a display carton... W D Polylaminated. Compatible labels to match Col R Tab s series. Complete set of 10 rolls, packaged in a display carton... W-3400 Polylaminated. Compatible labels to match Colwell series. Complete set of 10 rolls, packaged in a display carton....w

41 Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. W-1600 Series NUMERIC COMPATIBLE Labels W-3100 Series W-3110 Series W-3120 Series 1-1/3 15/16 15/16 3/4 1-1/4 GBS/VRE Compatible Numeric Roll Labels W W W W W W W W W W dk Polylaminated. Compatible with GBS/VRE s series. Complete set of 10 rolls, packaged in a display carton....w /8 JETER Compatible Numeric Roll Labels W W W W W W W W W W tan fl lt dk Polylaminated. Compatible labels to match Jeter s 7300 series. Complete set of 10 rolls, packaged in a display carton... W-3100 Polylaminated. Compatible labels to match Jeter s 2600 series. Complete set of 10 rolls, packaged in a display carton... W-3110 W-3130 Series W-3800 Series W-5401 Series W-2901 Series 1-5/8 JETER Compatible Numeric Roll Labels W W W W W W W W W W lt dk white 1-1/2 JETER Compatible Mini-Numeric Roll Labels W W W W W W W W W W lt white Polylaminated. Compatible labels to match Jeter s 3000 series. Complete set of 10 rolls, packaged in a display carton... W /16 15/16 1-1/2 15/16 1-5/8 JETER/TAB Compatible Numeric Roll Labels W W W W W W W W W salmon dk (JETER) (TAB) 1-5/8 POS Compatible Numeric Roll Labels W W W W W W W W /2 STS/SFI Compatible Numeric Roll Labels W W W W W W W W aqua 1-5/8 SAFEGUARD Compatible Numeric Roll Labels W W W W W W W W lt fl tan W lavender W W W W Polylaminated. Compatible labels to match Jeter s 6190/6100 series. Complete set of 10 rolls, packaged in a display carton. Jeter Compatible Numeric Roll Starter Set ellow #6 JETER... W-3130 Blue #6 TAB... W-3131 W Polylaminated. Compatible labels to match POS 3500 series. Complete set of 10 rolls, packaged in a display carton... W-3800 W Polylaminated. Compatible labels to match STS/SFI series. Complete set of 10 rolls, packaged in a display carton... W-5401 W Polylaminated. Compatible labels to match Safeguard s series. Complete set of 10 rolls, packaged in a display carton.... W

42 NUMERIC COMPATIBLE Labels Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. W-1003 Series W-1005 Series W-1007 Series W-4500N Series 1 1-1/ /4 Smead Compatible Numeric Roll Labels W W W W W W W W W W lt Polylaminated. Compatible labels to match Smead s DCCRN series. Complete set of 10 rolls, packaged in a display carton... W /2 Smead Compatible Numeric Roll Labels W W W W W W W W W W lt fl 250 labels per roll packaged in a self-dispensing box. Polylaminated. Compatible labels to match Smead s DCC series. Complete set of 10 rolls, packaged in a display carton.... W /2 Smead Compatible Numeric Roll Labels W W W W W W W W W W Polylaminated. Compatible labels to match Smead s XLCC series. Complete set of 10 rolls, packaged in a display carton... W /4 Smead/Tab Compatible Numeric Roll Labels W-3300 Series W-3320 Series W-4300N Series W-4400 Series lt W-4500N-0 W-4500N-1 W-4500N-2 W-4500N-3 W-4500N-4 W-4500N-5 W-4500N-6 W-4500N-7 W-4500N-8 W-4500N-9 fl * dk fl * Polylaminated. Compatible labels to match Smead BCCRN series. Complete set of 10 rolls, packaged in a display carton.... W-4500N-10 *Indicates fluorescent colors 1 1/2 1 1/2 1-1/4 Tab Compatible Numeric Roll Labels 1 Tab Compatible Numeric Roll Labels 1-1/4 Tab Compatible Numeric Roll Labels 1 Tab Compatible Numeric Roll Labels W W W-4300N-0 W W W W-4300N-1 W W fl * W fl * W-4300N-2 lt W lt W dk W dk W-4300N-3 dk W dk W fl * W fl * W-4300N-4 emerald W emerald W W W-4300N-5 W W W W-4300N-6 W W W W-4300N-7 W W W W-4300N-8 W W W W-4300N-9 W Kimdura-like material. Compatible labels to match TAB s 1282 series. Complete set of 10 rolls, packaged in a display carton.... W-3300 *Indicates fluorescent colors Kimdura-like material. Compatible labels to match TAB s 1277 series. Complete set of 10 rolls, packaged in a display carton.... W-3320 *Indicates fluorescent colors Kimdura-like material. Compatible labels to match TAB s 1282 series. Complete set of 10 rolls, packaged in a display carton. Comes in a 3 TAB match horizontal roll box... W-4300N-10 Kimdura-like material. Compatible labels to match TAB s 1277 series. Complete set of 10 rolls, packaged in a display carton. Comes in a 3 TAB match horizontal roll box...w

43 Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. COMMUNICATION Labels 43

44 COMMUNICATION Labels Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. Allergy Labels 44

45 Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. COMMUNICATION Labels Insurance Labels HIPAA Labels Chart Labels Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. 45

46 SOLID COLOR & SPECIAL CLASSIFICATION labels W-6000 Series Use these solid color labels for assigning to special territories, cit classifications, certain litigation types of illnesses or any special coding requirement unique to your office. Use our medical labels to code patient folders requiring special recognition Please check the label dimensions before ordering. Labels pictu in this catalog are not actual size. 1-1/2 3/4 Compatible Solid Color Roll Labels W-6010 W-6020 W-6030 W-6040 W-6050 W-6060 Mylar laminated. Compatible labels to match Jeter s 9500 series... W-60 W-8010 Series Medicaid Ring Book W-8020 Series Medicare Ring Book W-8030 Series Allergy Ring Book 3/4 3/4 3/4 1-1/2 Compatible Medicaid Ring Book Labels 1-1/2 Compatible Medicare Ring Book Labels 1-1/2 Compatible Allergy Ring Book Labels Color Compatible Teal Jeter 5806 Color Compatible Color Compatible Orange Jeter 5807 Fl. Pink Jeter labels per polybag. 10 sheets per package. 27 labels per sheet. Mylar laminated. For use with Ring Book Binder... W-8010 Sheet Size x labels per polybag. 10 sheets per package. 27 labels per sheet. Mylar laminated. For use with Ring Book Binder... W-8020 Sheet Size x labels per polybag. 10 sheets per package. 27 labels per sheet. Mylar laminated. For use with Ring Book Binder... W-8030 Sheet Size x W-8050 Series Workers Comp. Ring Book W-8060 Series H.M.O. Ring Book WORKERS COMP WORKERS COMP 3/4 H.M.O. H.M.O. 3/4 1-1/2 Compatible Workers Comp. Ring Book Labels 1-1/2 Compatible Ring Book Labels Color Compatible Color Compatible Red Jeter 5837 ellow Jeter sheets per package. 27 labels per sheet. Mylar laminated. For use with Ring Book Binder... W-8050 Sheet Size x sheets per package. 27 labels per sheet. Mylar laminated. For use with Ring Book Binder... W-8060 Sheet Size x

47 Index Prescription Pads Standard Security Features... 2 Prescription Pad Program Prescription Thermal Rolls...7 Healthcare forms Claim Form & Envelope Examples...8 Dental Claim Forms...9 Claim Forms...9 Patient Sign-In Form & System Healthcare Bags & Valuables Envelope Healthcare envelopes Claim Form Envelopes Pre-Inserted Envelope Sets Envelopes Sold Individually Compatible File Folders 11 Pt. Compatible Folders Pt. Compatible Folders Pt. & 20 Pt. Compatible Folders Classification Folders File Folder accessories File Dividers Outguides Medical Radiology & Dental Jackets Medical Index Tabs Self-Adhesive, Poly-Adhesive, Vinyl & Lock-It Pockets Fasteners Name Labels & File Folder Label Protectors custom Folders & accessories Custom Folders & Applications Custom Divider Systems Custom Dividers & Case Binders STOCK Folders & accessories Legal Products...27 Healthcare-Related Products HIPAA Products Presentation Folders & Superbills color-coded compatible Labels Features, Functions & Benefits Label Placement Guide System Identification Methods Alphabetic compatible Labels Alphabetic Compatible Labels Numeric compatible Labels Numeric Compatible Labels Month & compatible ear Labels Month Labels ear Labels Communication Labels Alert & Billing Labels Advance Directive Labels Allergy Labels...44 Chart, HIPAA & Insurance Labels SOLID COLOR & special Classification Solid Color Labels Special Classification... 46