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Fraud Resistant,
Anti Copy Document Security Paper Products

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Manufactured by Micro Format, Inc. - Wheeling IL 60090

Rx504T-2pt

SECURE GUARDTM
Carbonless Prescription Pad Base Stock
for printing 2 part sets with a binding stub


Rx paper for printing pads
FRONT OF SHEET

Rx Paper for printing pads
BACK OF SHEET
Tamper Resistant Security Features MEET and EXCEED 2009 Medicaid Requirements.

    NOT FOR USE IN:
  • Indiana
  • Kentucky
  • Maine (Rx503T with color change ink may be used in the State of Maine)
  • California (Secure Script Paper available only for state approved printers)
  • Florida (Secure Script Paper available only for state approved printers)
  • New Jersey (State prohibits sale of blank Rx Pad Paper)
  • New York (All prescription pads must be obtained from the State of New York)
  • Wyoming (Secure Script Paper available only for state approved printers)

Minimum Wholesale Order ~ 1 carton
A State Resale Certificate Number will be required to place an order.

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Copyright © 2007-2010 Micro Format, Inc.
All Rights Reserved
Micro Format, Inc.
830-3 Seton Court ~ Wheeling IL 60090
Phone: 866/561-5511