The paper I received is great and works great. However the box the paper came in was completely ripped down one side and the packaging of every ream of paper was partially ripped. Luckily the paper itself was somehow undamaged. I doubt if I'll ever buy online and have it shipped via UPS again.
As a teacher of Diagnostic Medical Sonography Scanning Lab the how to of this job must have some picture supplementation. Digital copies are not as conducive to note taking in this environment. Your Multipurpose paper does the job.
I have used this paper in our ministry and it has been without problems. We print not only letters but flyers booklets and all works great. We also use it to produce color prints for special portfolios and it is clear and good photo quality.