DENTAL - MEDICAL - J.P. Cooke Company

INK & ACCESSORIES

XSTAMPERSTAMPS

GREEN STAMPSSELF-INKINGSTAMPS

AUTOMATICNUMBERINGMACHINES

REPLACEMENTPADS

DATER STAMPS

FULL COLOR SUBLIMATIONNAME BADGES, DESK

& WALL SIGNSEMBOSSING

SEALS

CCR RegisteredCAGE: 6L669

DUNS: 007276538 CAGE: 6L669FED. ID #47-0132633

NAICS: 339943

J.P. COOKE ® CO.A Service Disabled Veteran Owned Small Business

Marking Products Since 1887

P.O. Box 3848 • 1311 Howard St.Omaha, NE 68103Ph. (800) 877-8267 & (402) 342-7175National Fax: (800) 342-1260Email: [email protected]: www.jpcooke.com

© COPYRIGHT J.P. COOKE CO. 2020 - All logos contained herein are the property of their respective owners.

• FAST DELIVERY • INSTANT BILLING • ONE STOP SHOPPING •• EXTRAORDINARY CUSTOMER SERVICE •

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**FREE SHIPPING ON ALL WEB ORDERS OVER $59.00**

DENTAL - MEDICALAPPLICATION GUIDE

THERE JUST MADE BETTER™

Perfect for Fast Repetitive Use!Available with Black, Red, Blue, or Violet Ink

Self-InkingPrinter Line

50,000 initial impressionsRe-inkable • Laser Engraved

Designed for durabilityAvailable with Black, Red, Blue, Green, Purple, or Orange

Pre-Inked Stamps-OR-

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X-STAM

PS & 2000 PLU

SX-STA

MPS &

2000 PLUS

2

XSTAMPER N10 $30.15 • 2000 PLUS PRINTER 20 $22.45Copy Area: 1/2” x 1-5/8” • 9/16” x 1-1/2”

SAMPLES OF POPULAR DENTAL-MEDICAL STAMP IMPRESSIONS

MEDICARE

HUMANA

AETNA

PREGNANT

ALLERGIC TOPENICILLIN

PACEMAKER MISSING ADDRESSINFORMATION

COUMADINPATIENT

NO KNOWNALLERGIES

SMOKER

Rh NEGATIVE

FLU VACCINEDate ___________

HYPERTENSION

MEDICALALERT BS PPO

HIPPA

BC/BSNO INSURANCE

CORRECTEDCLAIM

CO-PAY

PRE-MED

KAISER

BLUE SHIELD

PHYSICIAN’S COPY

RETURN TOBILLING AFTER

TREATMENT

SHANE TSAI, MDCARDIOLOGY

DENVER, CO 80246

ATTENTION:MEDICAL RECORDS

DIABETIC

SEND FILMWITH PATIENT

ALLERGIC TO______________

BAD DEBT

CASH ONLY

BROKENAPPOINTMENT

NEEDS TO BEFILED OUT

CHART THINNEDON __________

NO REFERRALNEEDED

REFERRAL NEEDED








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X-STAM

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SX-STA

MPS &

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XSTAMPER N11 $34.052000 PLUS PRINTER 30 $23.50

Copy Area: 11/16” x 1-15/16” OR 3/4” x 1-7/8”


Copy Area: 1/2” x 1-1/16” OR 3/8” x 1-1/16”


XSTAMPER N13 $30.452000 PLUS PRINTER 30 $23.50Copy Area: 9/16” x 2” OR 3/4” x 1-7/8”

WORKER’SCOMP

CREDIT

PHYSICIAN’SCOPY

Amount Due

$ _______

Jamie Flohr, MD# 57389

888-1092

SECONDARYCLAIM

PATIENTSERVICES

PATIENTFILE COPY

Print ForSecondary

PLEASEPAY PATIENT

PHCSAUTHORIZATIONSREVOKED

H M O

P P O

MEDIGAP

SCAN

SHRED STERILIZED / /

MISSEDAPPOINTMENT

/ /

INSURANCEVERIFIED

/ /

ATTN: STAFFCO-PAY

HIPPAONFILE

SELFPAY

PRETREATMENTESTIMATE

WE HAVE RECEIVED YOUR MEDICAREPAYMENT. YOU ARE RESPONSIBLE FORTHIS BALANCE _____ . PLEASE REMIT.

MEDICAL RECORDS ARE $75 PREPAID. RECORDS WILL BE SENT ONCE PAYMENT IS RECEIVED.

PRE-MEDDENIED

CONFIDENTIAL_____________Not to be released

to a third party

IMPORTANTFORMS ENCLOSED

CALIFORNIA DENTAL SERVICEP.O. Box 7736San Francisco, CA 94120

KENNETH MILLER, M.D.48772 EAST ADAMS STREET, STE. 324

SYRACUSE, NY 13202

PLEASE PAYFROM

STATEMENTABNORMALLAB TEST

NAME ALERTDate of Birth _________________________________________________Two Patients with Same Name

P S & R

DATE___ /___ /___

KEFLEX 500 mgDISP: 30 (THIRTY) TAB

SIG: TAKE T TABTid

•

Do NOT SubmitTo Medicare

We File For YouSome of our best patients are referred by some of our best patients. Please feel free to refer your friends and family to our practice.

Thank You

YOUR SUPPLEMENTALINSURANCE CO. HAS

BEEN BILLED.


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X-STAM

PS & 2000 PLU

SX-STA

MPS &

2000 PLUS

XSTAMPER N12 $40.252000 PLUS PRINTER 40 $25.20Copy Area: 1” x 2” OR 15/16” x 2-3/8”








LORTAB 7.5Disp: 12SIG: Take 1 tabevery 4-6 HRS PRN

KEFLEX 500 mgDISP: 30 (THIRTY) TAB

SIG: TAKE T TABTid

•

SEND X-RAYSWITH PATIENT

SECOND SUBMISSIONORIGINAL CLAIM

WAS SENTON:

Allergic To:Drug LatexFood Other:

ADVANCE DIRECTIVELiving WillHealth Care ProxyDurable Power of AttorneyOther:

Medicare HMO

Medicaid PPO

BC/BS Self Pay

PAY TO THE ORDER OFBank of NebraskaFOR DEPOSIT ONLYEye Disease Clinic

of San Diego12345-678984

HOLD

VICODINDisp: 12SIG: Take 1 or 2 Q 4 to 6 HRS PRN PAIN

AMOXICILLIN 500 mgsDisp: __________Take 4 caps 1 HR prior toappt.Refill(s): ___________

TYLENOL #3Disp: 16(sixteen) TABSSIG: Take 1 or 2 TABS every4 HRS PRN

ZITHROMAX “Z” PACKSIG: Take 2 PO on day one Then take 1 PO days 2-5 1 HR AC or 2 HR PC

C O P YFOR YOUR INFORMATION

Barb Cunningham, D.M.D.Family Practice9627 N. Parker St.

P.O. Box 8348Lafayette IN 47904

PATIENT NOTIFIED_______PHONE_______MAILDATE______________INITIALS___________

Appt. Date

Referral Letter:Send

Pick-up

Release x-rays

McFarland FamilyDental Care

GARY D. McFARLAND, D.M.D.804 Harney StreetDetroit MI 48204








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X-STAM

PS & 2000 PLU

SX-STA

MPS &

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Copy Area: 15/16” x 2-13/16” OR 1-1/4” x 2-3/4”


Steven L. Lewis, MDAlegent Health Family Care3947 Franklin St. Suite 402

Houston TX 77030Ph:(713) 847-9437

YOUR INSURANCE COMPANY HASPAID ITS SHARE OF YOUR BILL

This statement is for the amountpayable directly by you.

X - R A Y SDO NOT BEND

IMPORTANT: YOU MAY REMIT BY CREDIT CARDNAME

ACCT. # EXP. DATE

SIGNATURE

VISA MASTERCARD AM/EXP. AMOUNT $

PLEASE NOTIFY ON-CALLPHYSICIAN ON POSITIVE RESULTS

PROOF OFTIMELY FILING

BALANCE DUE IS NOTCOVERED BY INSURANCE

Please remit payment.

INSURANCE VERIFIED

DateDateDate

Attention StaffCO-PAY

$Collect at time of visit

The privacy and security of your

personal health information is

important to us!

CONFIDENTIALINTERNAL USE ONLY

DEPT. OF SOCIAL & HEALTH SERVICESPROVIDER SERVICEP.O. BOX 3547 M/S LG-435OLYMPIA, WASHINGTON 98504


0 1 2 3 4 5 6 7 8 9 10

RATE YOUR PAINFROM 1 TO 10








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X-STAM

PS & 2000 PLU

SX-STA

MPS &

2000 PLUS


Copy Area: 1/1/2” x 2-1/2” OR 1-1/4” x 2-3/4”

XSTAMPER N48 $31.052000 PLUS PRINTER R24 $27.25

Copy Area: 3/4” OR 1”

ALLERGYDATE INITHEALTH HISTORY REVIEWEDSOFT T/CANCER EX W.N.L.

PERIODONTAL EX. W.N.L.TYPE I II III IV

Report reviewed by:Phone patient? yes noPhoned to:Comments by:Date/Time

NAME

DATE

DENTURE TYPE #1 #2 #3 #4 #5

SOFTLINER? YES NO

SHADE BRAND

HORIZONTAL PLANE

MIDLINE

CANCELLED ORMISSED APPT.

For OnDate Patient Called By Rescheduled On Not Rescheduled

ACTUAL DOCUMENTPLEASE TRACE ANDCHANGE ORDERDO NOT DUPLICATEORIGINAL ORDER

Medicare Worker’s Comp

Medicaid Self Pay

BC/BS Auto

United HC Kaiser

Aetna Cigna

Other:

PATIENT RESPONSIBILITYDeductibleNon-Covered ServicesToo many servicesCo-Payment

AS SOON AS POSSIBLE

PLEASE REMIT $

___AGEHTWTBPPTEMPHGBUAPAIN __________012345678910

PAID CASH

CHECK

VOUCHER

CREDIT

BY __________









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X-STAM

PS & 2000 PLU

SX-STA

MPS &

2000 PLUS


Copy Area: 1/1/2” x 2-1/2” OR 1-1/4” x 2-3/4”

XSTAMPER N28 $114.00NO 2000 PLUS PRINTER AVAILABLE

Copy Area: 2-9/16” x 3-15/16”

XSTAMPER N57 (OVAL) $46.802000 PLUS PRINTER 50 (RECTANGLE) $30.15

Copy Area: 1-3/16” x 1-3/4” OR 1-1/4” x 2-3/4”

“Stay Healthy & Prosper”

Discover Series

HUMAN GROWTH HORMONE

___________ MG SUB Q

INJECTION EVERY DAY

TESTOSTERONE CYPIONATE

___________ MG 1 M

VIT B-12 1000 MCG 1 M

INJECTION OF EACH EVERY 7-10 DAYS

NANDROLONE

___________ MG 1 M

VIT B-12 1000 MCG 1 M

1 INJECTION OF EACH EVERY ___WKS

B. ESTROGEN CREAM___________ MG/GM

30 DAY SUPPLYSIG: APPLY ½ - 1 GMDAY 1-28 OF CYCLE

TO CLEAN UNDER ARMS

DOMINANCE R L +1 50MOOD__________________NORMALVF____________________FULL CONFRONT OUAMSLER______FULL OUMOTILITY______________FULL ORTHO (OU)NPA_____ADNEXA LID_____________ NORMAL OU LACRIMAL_______ NORMAL OU LASH___________ NORMAL OUCONJ____________________ QUIET OUCORNEA_________________ CLEAR OUAC______________________ DEEP QUIET OUIRIS_____________________ NORMAL OU

PUPILS OD____ mm OS____ mm

Ta OD____ mm Hg____ AM/PM

OS____ mm Hg____ AM/PM

M1 N2.5 C1 ADEQUATE

LENS__________________CLEAR OUVITREOUS_____________ OUDISC C/D R______ L______MACULA_________ NORMAL OUVESSELS________ NORMAL OUPERIPH__________ NORMAL OU









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X-STAM

PS & 2000 PLU

SX-STA

MPS &

2000 PLUS


No Appointmentscan be made

until the balanceshown on this

statement in paid.

YOUR INSURANCECOMPANY HAS APPLIED

THESE CHARGESTO YOUR

DEDUCTIBLE

MEDICARE HAS PAID ITSSHARE OF YOUR BILLPlease advise us of any

additional insuranceinformation or pay this

amount in full

Whenever you require medicalattention you are given prompt

service.Won’t you please make

prompt payment on this long overdue account?

PLEASE...Having to ask a good

patient for payment is not apleasant task; however,

your remittance would begreatly appreciated.

YOUR BALANCE DUE TO: Your Deductible Non-Covered Services Co-Pay$______________________

Your insurancehas been billed for you.

YOUR SHAREOF THIS BALANCE IS$___________________

Your Insurance Co. has not paidthis claim because: Deductible Taken Non-covered Service Insurance Cancelled Requested Information Not Received

Please remit payment in full.

INSURANCE PENDING

$___________________

AMOUNT DUE NOW

$___________________

Your insurance companystate this balance

is your responsibility

Please Remit Today!

Just a friendlyreminder

that your account isoverdue. Won’t your please

mail your remittance?

THANK YOU for yourprevious payment.

Reducing the balanceon a regular weekly ormonthly basis will begreatly appreciated.

FINAL NOTICEThis is the last statement that

will be sent to you. Unless paidat once your account will bereferred to the credit bureau

and collection service

We arranged a paymentplan that you agreed to.

Please honor yourarrangement and pay

now. Thank you.

Regular paymentsmust be made every

month in order tomaintain good credit.

WE MISSED YOURMONTHLY PAYMENT

Won’t you pleasesend it in now?

We’ve received no paymentfrom you since

___________________________PLEASE SEND PAYMENTTODAY TO SAFEGUARD

YOUR CREDIT.

Your account has been set upon a payment plan.

Please pay plan amount of$___________________per mo.

Thank You.









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X-STAM

PS & 2000 PLU

SX-STA

MPS &

2000 PLUS


PASTDUE

DID YOU FORGET?PLEASE REMIT

Please!ALL ACCOUNTS ARE DUE

UPON RECEIPT OF STATEMENT.

PLEASE PAY FROMTHIS INVOICE

Thank You

PLEASESETTLE

THIS SMALL ACCOUNT ATONCE AND AVOID US THEEXPENSE OF SENDINGANOTHER STATEMENT.WE WOULD APPRECIATEYOUR PAYMENT TODAY!

PASTDUE!

JUST WANTED TO REMIND YOU.

A T T E N T I O NYour account is now 60 days

PAST DUEPlease call our officeto make arrangementsto clear up this account.

OVERDUEFurther Delay InPayment Could

Impair Your Credit

PAST DUEPLEASE REMIT TODAY

If there is some reasonwhy this bill has not been

paid please call us to discuss it.

A T T E N T I O N :ACCOUNT SERIOUSLY

OVERDUEPlease remit payment in fullor call for a payment plan.

PLEASE NOTE:A partial Payment...

of this past due accountwill be a welcome expression

of your GOOD intentions.

PRIORITY REQUESTSEND PAYMENTSEND PARTIALCALL US

DON’T YOU

THINKWE HAVE WAITEDLONG ENOUGHFOR PAYMENT


Copy Area: 11/16” x 1-15/16” OR 3/4” x 1-7/8”

THIS ACCOUNT HAS NO DOUBTESCAPED YOUR NOTICE. WILL YOUPLEASE SEND US A REMITTANCE.

PAYABLEUPON RECEIPT

THANK YOU

PAST DUEYOUR COOPERATION

WILL BE APPRECIATED

THIS IS AFRIENDLY REMINDER

This account is past due.Your prompt attention iscourteously requested.

2nd REQUESTWe have to again remind

you of this overdue account.PLEASE SEND YOUR CHECK TODAY

YOUR REQUEST FOR CREDITWAS NOT IGNORED

THIS REQUEST FOR PAYMENTSHOULD NOT BE EITHER.









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X-STAM

PS & 2000 PLU

SX-STA

MPS &

2000 PLUS


Copy Area: 15/16” x 2-13/16” OR 1-1/4” x 2-3/4”

HAVING TOREMIND YOU!

WE NEEDTO BE PAID.

We AcceptMastercard - Visa - Discover

and American ExpressPLEASE CALL US TO MAKE

ARRANGEMENTS FOR PAYMENT

YOUR ACCOUNT HASBEEN TURNED OVER TO

OUR COLLECTION AGENCY!Immediate Payment Can Stop This Action

THINK IT OVERWe are not complaining, but suppose we

owed you $_____________since___________

WHAT WOULD YOU WANT US TO DO?

PAST DUEPLEASE REMIT AS

SOON AS POSSIBLE

IMPORTANT!F INAL NOTICE

FINAL NOTICE!Unless we receive your check in 10 days

this account will be turned in for collection.SORRY, BUT WE’VE ALREADY SENT

SEVERAL “REMINDERS”.

PAST DUE! This account has no doubt escapedyour notice. May we please have yourpayment by return mail?

ATTENTIONAccount is now over ________dayspast due. Please call our office or

remit your payment in full.

WE REGRET TO SAY, YOUR BILL IS 90 DAYSPAST DUE. IF NO ARRANGEMENTS ARE

MADE IMMEDIATELY, IT WILL BE REFERREDTO OUR COLLECTOR. PLEASE CALL US TO

AVOID THIS ACTION.

Don’t Make UsGet Tough!Please SendUs A Check!

XSTAMPER N22 $91.45NO 2000 PLUS PRINTER AVAILABLE

Copy Area: 1-15/16” x 2-15/16”

FINAL DEMANDThe balance of this account is over 90 days pastdue. We have been courteous enough to extendyou credit and hope that you will return the favorby taking care of this obligation promptly. Sincesending statements is an expense, we will sendyou no more. We have suspended your creditpending payment of this obligation. If this accountis unpaid by the 20th of this month, we will takelegal steps to collect it. We sincerely hope that thiswon’t be necessary. Thank you.


Copy Area: 1/1/2” x 2-1/2” OR 1-1/4” x 2-3/4”

URGENTLegal Action

is our next step.YOUR ACCOUNT MUST BE SETTLED IN FULL

Within 10 days or we will have no alternative butto place it in Outside Hands for collection.Please avoid the embarrassing and costly action.


SAMPLES OF POPULAR DENTAL-MEDICAL STAMP IMPRESSIONSJ.P

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X-STAM

PS & 2000 PLU

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MPS &

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N70 Spin ‘N Stamp*Copy Area: 1/2” x 1-5/8”

Choose 3 Custom Stampsto fit in the size below







3 Stamps inone Holder to

conserve spaceand save money!

$74.10

$44.25

Copy Area: 5/8” x 2-7/16”N42 - $40.80

Copy Area: 1/2” x 2”N40 - $30.45

*Available in Xstamper Only

Pocket Stamps*N40 and N42 Pocket Stampsare ideal for people on the go!

The folding case providesa compact yet sturdy design that

won’t leak in your pocket or purse!

10-in-1 Phrase Stamp*Copy Area: 3/16” x 1-1/2”

-Uses Refill Ink Cartridges-Just turn the dial for any of these phrases

DR. P.J. FILLMAN, M.D.3433 LA GRANGE AVENUE

PORTLAND, OR 97236(503) 336-7800

FOR DEPOSIT ONLYNEBRASKA MEDICINE

ACCT. #2335-699-485

RICHARD R. KENNEDY, D.D.S.48772 EAST ADAMS STREET, STE. 324

SYRACUSE, NY 13202

EMBOSSERS & SEALSClassiX by Xstamper metal desk and pocketembossers have been engineered to produce

higher pressure with minimal effort.

E11 $39.50E13 $49.85

Copy Area: 1-1/2”

DESKSEAL

POCKETSEAL

E-13E-11

*NOTE:PRODUCT NUMBER IDENTIFIES

BODY STYLE. IMPRESSION STYLESARE THE SAME FOR

POCKET OR DESK MODEL.

NEB

RASKA MEDICINE

DO

UGLAS COUNTY,

NE

SEAL

I I I I I I I I I I I I I I I I I II

II

II

II

IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII

IIII

II

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II

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II I

I II I

I I I I I I I I I I I

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I I I I I I I I I I I I I I I I I II

II

II

II

IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII

IIII

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• • • • • • • • ••

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2000 PLUS D

ATERS

2000 PLUS D

ATERS

12

Stock Self-Inking Daters

40312BY:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

DEC 3 1 2025

BY:

40310

DEC 3 1 2025$44.25

40311BY:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _

DEC 3 1 2025

Available withblue text, red dates

and metal frame only

HEAVY DUTY SELF INKING DATER#1 DATE STAMP IN INDUSTRY!

DEC 31 2025 DEC 31 2025

DEC 3 1 2025

DEC 3 1 2025

2160 $71.65Copy Area: 1” x 1-5/8”

2360 $80.15Copy Area: 1-1/4” x 1-13/16”

2660 $90.75Copy Area: 1-1/2” x 2-5/16”

2860 $121.35Copy Area: 2” x 2-3/4”

BandShield

Available in 1 or 2 color pad impressions.NO MESSY FINGERS!

Handle Infused with

to inhibit growth of bacteria

24 HOURSWITH

24 HOURSWITHOUT

DEC 31 2025 DEC 31 2025

DEC 31 2025 DEC 31 2025

DEC 31 2025DEC 31 2025

DEC 31 2025DEC 31 2025

SCANNED

By_____________________________

HEALTH HISTORY REVIEWED

INITIAL ________

STEVEN L. LEWIS, M.D.

TO: _________________BY: _________________

F I L E ST R A N S F E R E D

DENVER MEDICAL GROUP□ REC’D □ FAXED□ PAID □ ENT’D

BATES MEDICAL GROUP

CALLED

CITY EYE CLINIC

STERILIZED

MILLER DENTAL

INSURANCE

VERIFIED

PATIENT NOTIFIEDINITIALS ______

□ PHONE □ MAIL

PAID□ CASH □ CREDIT□ CHECK □ VOUCHER

REISSUED

STATEMENT


NOTARY & PROFESSIONAL SUPPLIESFOR EVERY STATE!

N42 Pocket Stamp-Lifetime Guarantee!-78% Recycled Content-Pre-inked & Re-Inkable-50,000 initial impressions

YOUR NAME HERENOTARY PUBLIC

MINNESOTAMy Commission Expires Jan. 31, 2025

2000 Plus Printer 50-Microban Infused Handle-Easy to change ink pad-Thousands of crisp impressions-Perfect for fast repetitive use!

N18 Desk Stamp-Lifetime Guarantee!-66% Recycled Content-Pre-inked & Re-Inkable-50,000 initial impressions

LARGE141 page book forover 500 entries.

$39.75

MEDIUM72 page book for

200 entries$18.00

NOTARY JOURNALSProtect yourself by maintaining detailed

Records of your of�cial acts as a notary inour notary journals. Two different sizesavailable. Both books have space for

detailed records and thumb prints.

$46.45

$40.80

$30.15

*ALL SIZES AND PRICES MAY VARY SLIGHTLY DUE TO STATE REQUIREMENTS

TU SD RN YI

1 48 7

YOUR NAME HERENOTARY PUBLIC • STATE OF UTAHMy Commission Expires July 28, 2025

COMMISSION NUMBER 667249

NOTARY PUBLIC OFFICIAL SEALYOUR NAME HERE

State of West VirginiaMy Commission Expires Oct. 4, 2025

105 RIDGEWAY DRIVE HUNTINGTON, WV 25702

VISITJPCOOKE.COMTO CHECKYOUR STATENOTARY

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NOTARIES FOR EVERY STATENOTARIES FOR EVERY STATE


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NAME PLATES & BADGES

NAME PLATES & BADGES

14© COPYRIGHT J.P. COOKE CO. 2020 - All logos contained herein are the property of their respective owners.

WE SELL WALL SIGNS TOO!Just visit JPCooke.com to see the

full line of custom signs!

For J11, J12, and J13 name badges,please choose a fastener from below.

The Standard Pinback will be used unless otherwise noted.Magnetic fasteners available for extra charge.

Profile View

Profile View

Profile View

NAMEBADGES Standard Pinback Military Clutch Swivel Clip Magnetic (extra charge)

DESKSIGNS

ITEM NO. DESCRIPTION #OF LINES PRICE

ITEM NO. DESCRIPTION SIZE PRICE

STANDARD ALUMINUM• Available in Gold, Silver or Black Aluminum Holder •

• Plastic name plate in the color of your choice •

J11

J12

J13

J50

J51

73904

3/4” X 3”

1” X 3”

1-1/2” X 3”

5/8” X 3”

5/8 X 3”

Magnetic Fastener

8.65EA

11.30EA

15.35EA

22.85EA

22.85EA

4.25EA

2

3

3

2

2

-

Standard Gold Holder

Standard Silver Holder

Standard Black Holder

Standard Gold Holder

Standard Silver Holder

Standard Black Holder

Sign Plate

Sign Plate

22.85 EA

22.85 EA

22.85 EA

27.45 EA

27.45 EA

27.45 EA

35.40 EA

41.90 EA

2” X 8”

2” X 8”

2” X 8”

2” X 10”

2” X 10”

2” X 10”

2” X 8”

2” X 10”

**J50 and J51 only available with Military Clutch Fastener

PLASTIC NAME ON WOOD• Available in two sizes •


Name Plate w/ Black Holder

Name Plate w/ Black Holder

28.85 EA

32.70 EA

2” X 8”

2” X 10”

DESIGNER DESK SIGNS• Available in two sizes •


To view the most popular PLASTIC COLORS

See the Chart at the end of this catalog!If your color is not there, please contact us.

We have over 40 color choices to match your of�ce decor!If you need a special color match, provide sample

and speci�cations to your sales rep.

PLASTIC NAME BADGES• Available in three sizes J11, J12, J13 •

• Plastic in the color of your choice •

METAL NAME BADGES• Available in two sizes J50 and J51 •

• Choice of Silver or Gold metal •

K30

K31

K32

K35

K36

K37

K80

K81

K20

K24

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SUB

LIMATED

BA

DG

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BLIM

ATED B

AD

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SUBLIMATED FULL-COLORNAME BADGES

Item #SUB13 • 1” x 3”

Item #SUB15 • 1½” x 3”

Item # Size Qty 1 thru 10 Qty 11 thru 24 Qty 25 thru 100SUB13 1” x 3” $16.55 $14.10 $12.00SUB125 1¼” x 3” $17.90 $15.25 $12.90SUB15 1½” x 3” $20.75 $17.60 $14.95SUB23 2” x 3” $22.10 $18.75 $15.95SUBOV 1½” x 3” $22.10 $18.75 $15.95

Above price includes a Safety Pin Fastener. For a Magnetic Fastener add $4.25 per badge.No Set-Up Fees. Digital Artwork for logo is required in either a .tif, .jpg, .eps or .pdf at least 300 dpi for best results.

FIRST FINANCIALEQUITY CORPORATION

SARAH FILLMOREACCOUNT EXECUTIVE

Item #SUB15 • 1½” x 3”Shown with optional Frame. Frames are available in Gold,Silver, or Black. Add $1.50 Suggested Retail for Frame.

Creighton ______ _______

U N I V E R S I T Y _______________

PROFESSOR TOM CALHOUN

Director of Physics

Item #SUB23 • 2” x 3”

KATHERINE LATURNO, RN

Nurse Manager

PARK VIEW

Item #SUBOV • 1½” x 3” Oval

Item #SUB125 • 1¼” x 3”

COMMISSIONERS COURT

DOUGLAS COUNTY, TEXASJOHN SMITH

CIT

Y OF COOKE, NEBRASK

A

INC

ORPORATED FEBRUARY 2

, 185

7

City of CookeJOHN SMITH

Building Inspector

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STOC

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MPS

STOC

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MPS

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Our signature mount with today’s most common one-colortitle impressions. Many more titles available from your salesrep if you don’t see what you need here. As always, eachstamp is re-inkable and guaranteed for life!IMPRESSION SIZE: 1/2” X 1-5/8”

XSTAMPER STOCK STAMPS

MAILED

URGENT SCANNED_________ FYI

16331008 1014

10121627 1625

16231624 1631

16231119 1111

12181634 1834

16321629 1014

16301130 1820

16501825 1051

10261006 1626

18291103 1361

The color shown is the only color available unless a custom stamp is ordered.

$12.50ea

INSURANCEVERIFIED

PLEASE FORWARDATTENDING PHYSICIAN’S

INSURANCE FORM

PLEASE PAY NOWWE DO NOT SEND

STATEMENTS

X-RAYS

BENEFITSASSIGNED

ADMITTED

PATIENT’S SIGNATUREON FILE

OFFICE COPYDO NOT REMOVE

NON-SMOKER

PHYSICAL DUEYOUR INSURANCE HASPAID THEIR PORTION

BALANCE DUE IN 30 DAYS

ALLERGIES


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STOC

K STA

MPS

STOC

K STA

MPS

Our signature mount with today’s most common one-colortitle impressions. Many more titles available from your salesrep if you don’t see what you need here. As always, eachstamp is re-inkable and guaranteed for life!

XSTAMPER STOCK STAMPS

The color shown is the only color available unless a custom stamp is ordered.

OK

FYI ENTERED_______

FAXEDTHANKYOU

COPY IN

ITIAL

11407 11411 11415 11408

11363 11413 11418 11414

11359 11409 11357 11364

POSTED

FILECOPY

PAID_____ DRAFT

Stock Self-Inking Line Daters

• Self Inking• Black Inked• Auto Advance

40240 $77.50

40242 $82.95

40244 $110.95

40246 $144.25

40248 $166.25

Automatic NumberingMachine

Small Round Stamps

40160 $17.50Plastic Frame Type size 1.5• 4-year line dater • Black

40150 $36.50Metal Frame Type size 1.5• 10-year line dater • Black

DEC 3 1 2025DEC 3 1 2025

$9.99ea


STA M PE R & M A R K E RProtect yourself with our secure stamper & marker! Special black ink obscures

private information and is perfect for hiding personal data on mail and indocuments. Covered information can not be easily read, scanned or copied.

Obscure private information permanently

Secure Marker in use Secure Stamp in use

Hide a block of information such as aname and address with 1 impression

35300 - Impression area: 13 x 42mm (1/2” x 1-5/8”)

35301 - Impression area: 24 x 71mm (15/16” x 2-13/16”)

Available in black inkAvailable in black ink

Conceal sensitive information and leave needed data readable

2.0 - 4.0mm (Writing width) • Acrylic �ber tip • Chisel style

With ordinary marker ink, carbon often floats to the top afterthe ink dries, which makes original text readable again because

of light reflection. New secure marker ink formula minimizesthis phenomenon to obscure information.

OR

GO TO WWW.JPCOOKE.COM FOR MORE INFORMATION!

HOT

SELLER!HOTSELLER!

$12.85ea

$19.45ea

$5.20ea

35305

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RE-IN

KIN

G &

REFILLS

RE-IN

KIN

G &

REFILLS


EASY RE-INKINGIT’S EASY TO RE-INK AN XSTAMPER!

WITH MOST MODELS, SIMPLY REMOVETHE HANDLE AND PLACE A FEW

DROPS OF INK IN THE OPENINGS.

COMPLETE RE-INKING INSTRUCTIONSARE ENCLOSED WITH EVERY XSTAMPER!

NUMBER 1 BRAND STAMP IN USA!

MAKE SURE TO ALWAYS USEXSTAMPER INK REFILLS TO INSURETHE LONG LIFE OF YOUR STAMP!

YOU’LL NEVER HAVE TO BUY THE SAME STAMP TWICE!THERE JUST MADE BETTER™

ITEM DESCRIPTION COLOR PRICE

22111

22112

22113

22114

22115

22116

22118

22119

10ml Bottle

10ml Bottle

10ml Bottle

10ml Bottle

10ml Bottle

10ml Bottle

10ml Bottle

10ml Bottle

$ 6.29

$ 6.29

$ 6.29

$ 6.29

$ 6.29

$ 6.29

$ 6.29

$ 6.29

Red

Black

Blue

Green

Purple

Orange

Pink

Lt. Blue

ITEM DESCRIPTION COLOR PRICE

40711

40712

40713

40714

40715

2oz Bottle

2oz Bottle

2oz Bottle

2oz Bottle

2oz Bottle

$ 9.00

$ 9.00

$ 9.00

$ 9.00

$ 9.00

Red

Black

Blue

Green

Purple

For larger bottles visit our websitewww.jpcooke.com

For larger bottles or replacement pads visit our website

www.jpcooke.com

NEED REPLACEMENT PADS??We carry replacement pads for almost

every brand of self-inker.Just refer to the number on the stamp

handle & specify pad color.

PRINTER LINESTOCK PADS (1COLOR)

DATE STAMPSCLASSIC LINE PADS

P-10 PadP-12 PadP-15 PadP-20 PadP-25 PadP-30 PadP-40 PadP-45 PadP-50 PadP-60 PadQ-17 PadQ-24 Pad

DATER NO.2160 Pad2360 Pad2460 Pad2660 Pad2860 Pad

1 COLOR$ 9.90$ 9.90$ 9.90$ 9.90$ 9.90

2 COLOR$ 10.95$ 10.95$ 12.00$ 12.00$ 12.00

R-17 PadR-24 PadR-30 PadR-40 Pad

$ 9.90$ 9.90$ 9.90$ 9.90$ 9.90$ 9.90$ 9.90$ 9.90$ 9.90$ 9.90$ 9.90$ 9.90

$ 9.90$ 9.90$ 9.90$ 9.90

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PRIC

E LISTSPR

ICE LISTS

19

ITEM NO. TYPE % RECYCLED MAX # OF LINES SIZE PRICE

21602360246026602860

R 2045 631603360

N04N05N10N11N12N13N14N16N18N20N22N24N26N27N28N32N48N49N51N52N53N56N57

Self Inking Dater *Self Inking Dater *Self Inking Dater *Self Inking Dater *Self Inking Dater *Self Inking Dater *Self Inking Dater *Self Inking Dater *

Pre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-InkedPre-Inked

Heavy Duty MetalHeavy Duty MetalHeavy Duty MetalHeavy Duty MetalHeavy Duty Metal

Heavy Duty Metal (Round)Expert Line - All SteelExpert Line - All Steel

1” X 1-5/8”1 1/4” X 1-13/16”1-1/8” X 2-15/16”1-1/2” X 2-5/16”

2” X 2-3/4”1-3/4” Diameter

1” X 1-5/8”1-1/4” X 1-13/16”

1/2” X 1-1/16”1/8” X 2-3/8”1/2” X 1-5/8”

11/16” X 1-15/16”1” X 2”

9/16” X 2”5/8” X 2-7/16”1-1/2” X 2-1/2”

15/16” X 2-13/16”15/16” X 2-13/16”

1-15/16” X 2-15/16”1-3/16” X 3-1/8”11/16” X 3-5/16”

1-9/16” X 3-15/16”2-9/16” X 3-15/16”

5/8” Diameter3/4” Diameter

1-3/16” Diameter1” Diameter

1-15/16” Diameter1-9/16” Diameter15/16“ X 15/16”1-3/16” X 1-3/4”

$71.65EA

$80.15EA

$84.75EA

$90.75EA

$121.35EA

$85.65EA

$92.20EA

$104.35EA

$25.75EA

$25.15EA

$30.15EA

$34.05EA

$40.25EA

$30.45EA

$42.55EA

$49.60EA

$46.45EA

$50.20EA

$91.45EA

$79.75EA

$50.25EA

$102.75EA

$114.00EA

$26.20EA

$31.05EA

$37.00EA

$32.40EA

$65.05EA

$52.75EA

$40.95EA

$46.80EA

45579645

41469551377171061327335412786

67%76%65%63%58%64%66%55%64%53%65%54%64%65%61%68%60%56%58%64%52%58%55%

* Available in 1 and 2 Color Pad Impressions **Excludes R20456

ITEM NO. TYPE DESCRIPTION MAX # OF LINES SIZE PRICE

ITEM NO. TYPE DESCRIPTION MAX # OF LINES SIZE PRICE

PRINTER 10PRINTER 15PRINTER 20PRINTER 25PRINTER 30PRINTER 40PRINTER 45PRINTER 50

Self Inking Self Inking Self InkingSelf InkingSelf InkingSelf InkingSelf InkingSelf Inking

Plastic ConstructionPlastic ConstructionPlastic ConstructionPlastic ConstructionPlastic ConstructionPlastic ConstructionPlastic ConstructionPlastic Construction

3/8” X 1-1/16”3/8” X 2-3/4”

9/16” X 1-1/2”5/8” X 3”

3/4” X 1-7/8”15/16 X 2-3/8”

1” X 3-1/4”1 1/4” X 2-3/4”

$21.00EA

$28.45EA

$22.45EA

$32.70EA

$23.50EA

$25.20EA

$35.85EA

$30.15EA

33455678

HEAVY DUTY DATERS

CUSTOM STAMPS

PRINTER SERIES



XSTAMPER REFILL INKQuantity ______Size 10ml 20ml 60ml $6.29 $9.70 $23.95Color Red Black Purple Blue Green

Ord

ered

By:

Name

Address

Address

City, State, Zip

Phone Number Fax Number( ) ( ) Email Invoice to:

Name

Address

City, State, Zip

Phone Number Fax Number( ) ( )

J.P. COOKE®

A Service Disabled Veteran Owned Small BusinessPh: (800) 877-8267 & (402) 342-7175

STAMP ORDER FORMFAX TO 1-800-342-1260 OR MAILJ.P. Cooke® Company • 1311 Howard StreetP.O. Box 3848 • Omaha, NE 68103Date _____________ P.O. # _______________

Shi

p To

:(if

diff

eren

t)

Quantity Color Mount Size Stamp Sample, Type or Print Clearly Desired Copy

SELF-INKING &RUBBER STAMP INKQuantity ______Size 2oz - $9.00Color Red Black Purple Brown Blue Green

Note: Signatures must be written actual size in black ink on separate unlined white paper and attached. For logos and artwork, attach exact size of original black and white camera-ready art. Photocopies or faxes of artwork cannot be accepted. If style # or instructions are not provided, we will use our discretion to make the best finished product.

PAYMENTMETHOD:

Bill Me Check Enclosed

#__________

List Stock items needed hereStock Number Stock NumberQuantityShipping Charges (Continental U.S. / APO/FPO)

Please add Sales Tax. Also add Postage & Handling@ Rate of 1 Stamp @ $4.45, 2 Stamps @ $5.50,

3 Stamps @ $6.55, 4 Stamps @ $7.80, 5 Stamps @ $9.40,6 or more Stamps @ $10.25

__VISA __MC __AMEX __DISCCard#_________________________

Exp. ____________Security #_______ Charge

DUNS: 007276538 - CAGE: 6L669 - FED. ID #47-0132633 - NAICS: 339943

*COPY THIS FORM FOR FUTURE ORDERS*

*PLEASE GO TO WWW.JPCOOKE.COM FOR EASY ORDERING*

SALES REP2000 PLUS DATER 2-COLOR REPLACEMENT PADS

2000 PLUS PRINTER LINE REPLACEMENT PADSPRINTER 10PRINTER 15PRINTER 20PRINTER 25PRINTER 30

21602360

PRINTER 40PRINTER 45PRINTER 50PRINTER 60

$9.90$9.90$9.90$9.90$9.90

$10.95$10.95

24602660

$12.00$12.00

2860 $12.00

$9.90$9.90$9.90$9.90

J.P. CookeCompany

Custom-MadeProduct

Order Form

Order Date:___________ P.O. Number:______________

Your Phone Number:_______________________________

Your Fax Number:________________________________

Please photocopy order form for your convenienceSH

IP T

O AD

DRES

S Business Name

Address

City, State, Zip

Your Name

QUANTITY

COPY Please print clearly - sketch required for seals, name badges and signs. SPECIALINSTRUCTIONS

ITEM # STYLE #

If not marked,ONE will be made.

If not marked, we willuse our discretion to

make the best finishedproduct.

○ exactly as chosen○ per sample○ shrink to fit

○ centered○ flush left○ justified (left & right)○ add border

PRODUCTION INSTRUCTIONS PLEASE CHECK ALL THAT APPLY

Guidelines for Submitting Artwork E-Mail Artwork Guidelines• FOR LOGOS AND ARTWORK - Attach original black and white camera-ready art. Photocopies, faxes, or business cards are not acceptable. • Provide clean black and white sketch for Seals and for copy placement.

• CUSTOM ORDERS cannot be changed or cancelled.• IF NO SPECIAL INSTRUCTIONS OR STYLE #'s are given, we will use our discretion to make the best finished product.

• ALL DIGITAL ART must be 300-600 dpi black and white bitmap (no grayscale), in TIFF or PDF format. All PDFs must include fonts or have all text turned to outline (i.e. we may not have your font).• INCLUDE P.O. or Control # with all e-mailed artwork.

ENGRAVED PRODUCTSIncludes desk signs, wall & door signs and badges.

PLASTIC COLOR______________LETTER COLOR_____________

If not marked, DOUBLE-SIDED TAPE will be sent

○ clear adhesive (on front)

○ double sided tape (on back)○ velcro ○ magnetic tape

○ suction cups○ screw holes○ wire clip (fabric partitions)○ none

WALL or DOOR SIGN MOUNTING

○ standard pinback ○ military clutch ○ swivel clip

○ magnetic (additional charge)

NAME BADGE FASTENER SELECTION

____________ X ____________ height length

CUSTOM SIZE (If applicable - face size only)

If not marked, STANDARD PINBACK will be used.

○ fill stamp○ caps○ upper/lower

EMAIL: [email protected] TO: 1-800-342-1260 OR MAIL TO:J.P. Cooke Company • 1311 Howard St.

P.O. Box 3848 • Omaha, NE 68102Phone: (402) 342-7175 (800) 877-8267

21

(NOT REQUIRED)

NEED HELP ORDERING? PLEASE CONTACT YOUR SALES REPOR CALL OUR FRIENDLY CUSTOMER SERVICE AT 1-800-877-8267


Documents

DENTAL - MEDICAL - J.P. Cooke Company