STATE OF NEW JERSEY CERTIFIED ELECTRONIC
PRESCRIPTION LASER PAPER PRICING
Quantity 1 Up 2 Up 4 Up
1000 115.50 163.25 306.50
2000 184.95 267.43 388.00
5000 417.40 497.00 679.50
10,000 697.10 715.00 998.00
All sheets are 8 1/2" X 11" and micro perfed in 4 positions
On the bottom of this page you will find the
UNIFORM NEW JERSEY PRESCRIPTION BLANKS ORDER FORM
FOR ELECTRONIC PRESCRIPTION LASER PAPER.