Business form for information recording and reporting
First Claim
1. A business form for record keeping and reporting purposes comprising:
- a record ply; and
a pressure sensitive adhesive label ply overlying and secured to said record ply;
said record ply having a plurality of different record receiving locations at each of which variable information to be recorded may be inscribed;
fixed information inscribed on said record ply identifying each of said record receiving locations;
die cuts in said pressure sensitive adhesive label ply and located to define a plurality of removable pressure sensitive adhesive labels, one for and aligned with each of said record receiving locations whereby a record receiving location cannot have variable information inscribed therein without first removing the corresponding pressure sensitive adhesive label; and
fixed information on each of said labels correlating with the fixed information at the corresponding record receiving location.
6 Assignments
0 Petitions
Accused Products
Abstract
A business form adapted for both record keeping and the reporting of information includes a record ply (10) and a pressure sensitive adhesive label ply (12), (14), (16) overlying and secured to the record ply (10). The record ply (10) has a plurality of different record receiving locations (36), (38), (40), (42) at each of which variable information to be recorded may be inscribed. Fixed information 46 is inscribed on the record ply and identifies each of the recording receiving locations (36), (38), (40), (42). Die cuts (50) in the pressure sensitive adhesive label ply (12), (14), (16) are provided and are located to define a plurality of removable pressure sensitive adhesive labels (60), (62), (64), (66) that are aligned with corresponding ones of the record receiving locations (36), (38), (40), (42). Fixed information (76) is located on each of the labels and correlates with the fixed information (46) at the corresponding record receiving locations.
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Citations
9 Claims
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1. A business form for record keeping and reporting purposes comprising:
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a record ply; and a pressure sensitive adhesive label ply overlying and secured to said record ply; said record ply having a plurality of different record receiving locations at each of which variable information to be recorded may be inscribed; fixed information inscribed on said record ply identifying each of said record receiving locations; die cuts in said pressure sensitive adhesive label ply and located to define a plurality of removable pressure sensitive adhesive labels, one for and aligned with each of said record receiving locations whereby a record receiving location cannot have variable information inscribed therein without first removing the corresponding pressure sensitive adhesive label; and fixed information on each of said labels correlating with the fixed information at the corresponding record receiving location. - View Dependent Claims (2, 3, 4, 5)
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6. A business form for record keeping and reporting purposing comprising:
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a record ply; and a pressure sensitive adhesive label ply overlying and secured to said record ply; said record ply having a plurality of different record receiving locations at each of which variable information to be recorded may be inscribed; fixed information inscribed on said record ply identifying each of said record receiving locations; die cuts in said pressure sensitive adhesive label ply and located to define a plurality of removable pressure sensitive adhesive labels, one for and aligned with each of said record receiving locations whereby a record receiving location cannot have variable information inscribed therein without first removing the corresponding pressure sensitive adhesive label; fixed information on each of said labels correlating with the fixed information at the corresponding record receiving location; and variable information inscribed on each label including a procedure identification and an identity identification.
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7. A business form for record keeping purposes comprising:
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a record ply having a plurality of preprinted record receiving locations at each one of which variable information to be recorded may be inscribed; a release liner overlying and secured to said record ply and having a plurality of generally closed die cut areas one for each of said record receiving locations, each of said die cut areas further being aligned with a corresponding one of said record receiving locations; a face stock ply overlying said release liner ply and having a plurality of generally closed die cut areas, each aligned with a corresponding one of said die cut areas in said release liner ply to define a plurality of labels, one for each of said record receiving areas, each of said labels having a unique, machine readable code thereon correlating the label to the corresponding preprinted record receiving location on said record ply; and pressure sensitive adhesive adhering said labels to said release liner. - View Dependent Claims (8, 9)
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Specification