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Resident Inventory List-2 Pt Form, Carbonless

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$79.95
QuantityPrice
1 – 4$79.95
5 – 9$75.25
10 – 14$64.45
15 +$55.65
SKU: 883/2
$79.95

This form allows for the recording of a residents personal belongings at the time of admission and upon discharge. Part 1 serves as the facility record. Part 2 has a horizontal perforation which allows you to provide the resident with the lower portion upon admission and the top portion upon discharge.

 

Download a sample today!

Size:  8 1/2" x 11", 
Paper:  2-part carbonless snap-out set, white original, green copy, 
Print:  Black ink, 
packaging:  100 per pack

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