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National Stock Number:
7540-00-142-8759
Federal Supply Class:
7540
National Item Identification Number:
001428759
Description:
FORM,PRINTED
Detail:
A printed or typed sheet form document with blank space or spaces for insertion of specific information. Excludes CARD, TABULATING, ELECTRIC ACCOUNTING MACHINE; PAPER, TABULATING MACHINE, CONTINUOUS FLAT FOLD; PAPER, GRAPH; INDICATING SLIP, DICTATING MACHINE; ENVELOPE (as modified); LABEL; CHART (as modified) and TAG (as modified).
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Manufacturer Information:
| 0PTI0NAL F0RM 58 | 80244 | GENERAL SERVICES ADMINISTRATION FEDERAL SUPPLY SERVICE | | OPTIONAL FORM 58 | 80244 | GENERAL SERVICES ADMINISTRATION FEDERAL SUPPLY SERVICE |
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Techincal Specification:
| FSC APPLICATION DATA | GOVT WIDE USE | | IDENTIFICATION DESIGNATOR | OPTIONAL FORM 58 | | SHEET WIDTH | 8.000 INCHES NOMINAL | | DOCUMENT TITLE | REPORT OF MEDICAL HISTORY | | SHEET LENGTH | 10.500 INCHES NOMINAL | | INTERLEAVED W/CARBON PAPER FEATURE | NOT INCLUDED |
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