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Lady Jayne Note Pads are printed with beautiful designs so you can keep these pads out all the time, on the top of your desk, on the counter, and next to the phone. Spiral Best Nurse Ever Foil- 4 1/2"x 3" spiral bound printed pad with heavy chip board cover and elastic band closure. Cover design features rose gold foil polka dots on a pink background with the caption: best nurse ever, in rose gold foil capital letters. Pink elastic band keeps pages secure by wrapping around the outside cover. Spiral binding is rose gold. Printed pages have a pink polka dot border across the bottom.