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YOUR BALANCE DUE TO:

Fl. Red 3 1/4" x 1 3/4" (250/Roll)
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YOUR BALANCE DUE TO:

Fl. Chartreuse 1 1/2" x 7/8" (250/Roll)
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Your balance due to:

Orange/Black 1 1/2" x 1 1/2" (250/Roll)
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Your co-payment was not paid before you left our office.

Fl. Orange 1 1/2" x 7/8" (250/Roll)
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Your insurance carrier has received a copy of this bill.

Fl. Chartreuse 1 1/2" x 7/8" (250/Roll)
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Your insurance claims has been submitted.

Fl. Green 1 1/2" x 7/8" (250/Roll)
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Your insurance co. has not paid this claim because:

Orange/Black 1 1/2" x 1 1/2" (250/Roll)
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Your insurance company denied this claim because you did not....

Fl. Red 1 1/2" x 7/8" (250/Roll)
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Your insurance company has advised us that you are responsible for a....

Fl. Orange 3 1/4" x 1 3/4" (250/Roll)
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Your Insurance Company Has Already Paid Its Share Of Your Bill

Fl. Orange 1 1/2" x 7/8" (250/Roll)
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Your insurance company has already paid its share of your bill

Orange/Black 1 1/2" x 1 1/2" (250/Roll)
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Your insurance company has applied these charges to your deductible

Fl. Chartreuse 1 1/2" x 7/8" (250/Roll)
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Your insurance company has applied these charges to your deductible

Fl. Pink 1 1/2" x 7/8" (250/Roll)
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Your Insurance Company Has Not Paid This Claim Because

Fl. Chartreuse 1 1/2" x 7/8" (250/Roll)
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Your insurance company has not paid this claim because:

Fl. Chartreuse 3 1/4" x 1 3/4" (250/Roll)
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Your insurance company has paid its share of you bill.

Fl. Pink 3 1/4" x 1 3/4" (250/Roll)
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Your insurance company has paid its share of you bill.

Fl. Orange 1 1/2" x 7/8" (250/Roll)
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Your Insurance Company Has Paid Its Share of Your Bill

Teal/Black 1 1/2" x 1 1/2" (250/Roll)
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Your insurance company has paid its share of your bill.

Fl. Red 1 1/2" x 7/8" (250/Roll)
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Your insurance company has paid its share of your bill.

Fl. Orange 3" x 1" (250/Roll)
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Your insurance company has paid its share of your bill.

Fl. Red 3" x 7/8" (320/Roll)
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Your insurance company has paid you instead of us.

Fl. Pink 1 1/2" x 7/8" (250/Roll)
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Your insurance company has sent you payment of...

Fl. Orange 1 1/2" x 7/8" (250/Roll)
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Your Insurance Company States This Balance Is Your Responsibility

Fl. Chartreuse 1 1/2" x 7/8" (250/Roll)
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Your insurance coverage has been terminated.

Fl. Orange 1 1/2" x 7/8" (250/Roll)
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Your insurance coverage is an agreement between you and your instructor

Teal/Black 1 1/2" x 1 1/2" (250/Roll)
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Your insurance covered all but the amount shown on this statement.

Blue/Black 1 1/2" x 1 1/2" (250/Roll)
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Your insurance covered all but the amount shown on this statement.

Fl. Green 1 1/2" x 7/8" (250/Roll)
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Your insurance has been billed and charges applied to deductible.

Fl. Green 1 1/2" x 7/8" (250/Roll)
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Your insurance has been billed for you.

Fl. Chartreuse 1 1/2" x 7/8" (250/Roll)
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Your insurance has paid its share of your bill.

Fl. Orange 2 1/4" x 7/8" (420/Roll)
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Your insurance requires that co-payment be paid at the time of service.

Fl. Green 1 1/2" x 7/8" (250/Roll)
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Your primary and secondary insurances have paid their share

Fl. Pink 1 1/2" x 7/8" (250/Roll)
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ZEBRA : Kendo Retractable Ballpoint Pen

Sleek, retractable ballpoint features a comfortable triangular rubber grip for writing comfort. 1.0mm medium point. Matching mechanical pencil (ZEB53410), sold separately. [12 Each per box.]
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ZEBRA : Kendo Retractable Ballpoint Pen