Pack of 200, Blue Sapphire Gemstone Tissue Paper 20X30" Sheets Made in Usa. Blue Sapphire Gemstone Tissue Paper by the ream. Made in the USA. Gemstone Collection tissue is color tissue paper with holographic glitter. Made in the USA. Available in 20x30" sheet reams of 200 sheets. While we aim to supply accurate product information, it is sourced by manufacturers, suppliers and marketplace sellers, and has not been provided by Overstock.