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2. Name
3. Organization/Department
4. County Account Number
6. Phone Number
7. Email Address
8. Date
10. Print Job Description
11. Quantity
13. Paper Size
    -- Select One --8.5 x 11 (Letter)8.5 x 14 (Legal)11 x 17 (Tabloid)
14. Paper Weight
    -- Select One --20# (Regular)70# (Medium)65# (Cover Stock)110# (Index/Card Stock)NCR 2 PartNCR 3 PartNCR 4 Part
15. Paper Color
16. Ink Color
    -- Select One --BlackBlueFull Color
18. Copies
    -- Select One --BlackFull Color
19. Envelopes
    -- Select One --#10 Plain#10 WindowOther (Please Note Under Comments)
21. Finishing

    1. One Sided ___________
    2. Two Sided __________
    3. Laminations __________
    4. Numbering __________
    5. Collate __________

    1. Fold __________
    2. Staple __________
    3. Cut __________
    4. Perforating __________
    5. Comb Bind __________

    1. Pad __________
    2. Apply Labels __________
    3. Apply Seals __________
    4. Typesetting - New $15.00
    5. Typesetting - Changes $10.00
23. Please Attach A Sample
25. Comments
27. **Below For Printing Department Use Only
28. Job Number
30. Paper/Envelope Cost
31. Copy Cost
32. Seals/Combs Cost
33. Press Time
35. Form/Card Box $.40
36. Wrk Ord $4.17/$5.83
37. Filing $8.33/$11.67
39. Completed By
40. Completion Date
41. Grand Total
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43. 1. Receive an email copy of this form.
44. Email address

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45. Submit Submit and Print

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