LEGACY HCFA-1500 (1001)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM LEGACY HCFA-1500
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 1
FIRST LINE NUMBER 37
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 70
LENGTH 10
SHORT DESCRIPTION PURCH SVC CHARGES (BX-20/C)