Sparco Medical File Folder, 2-Inch Fasteners, 11 Point, Letter, 40 per Box, Manila (SPR00200) Medical file folders feature a single partition and fasteners. Full-cut two-ply tab offer embossed lines to aid label placement. 2-Inch fasteners are in 1 and 3 positions and on both sides of interior divider. Folders are also scored for 3/4-Inch expansion And made of durable 11 point manila. Made in the USA