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 This form is carbon interleaved printed in triplicate
Can be used for either PAY or HOLD
The payment section shows gross, accessories, other and bonus
The hold section shows the hold for monies still due, outside finance and accessories removed
4 1/2" x 7"
3 Part Carbon
100 per Package
SAVE! Buy 5
at $20.95 each (5 would cost $104.75)
SAVE! Buy 10
at $18.95 each (10 would cost $189.50)
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