Free Printable Invoice

810 Invoice Overview The 810 invoice document is used to bill the dealer for products purchased from the vendor. The objective of this document is to reduce errors and charge backs and provide efficient data entry to invoice processing and accounts payable systems The invoice document contains the same basic information found on a printed invoice. It contains invoice date and number, selling company, group account, carrier description, bill of lading number and shipment date. Also, it contains SKU, quantity and unit price per invoice line item. Ship-to information and remit-to information are also included. A 997 Functional Acknowledgement is expected within 24 hours of origin of this document. If an error(s) causes the EDI invoice to become "unworkable", the dealer must send the vendor a 997 Functional Acknowledgment document indicating this. The 997 document is generated as ANSI compliance errors are detected by EDI translation software (e.g., missing mandatory fields). If a 997 is received with a status flag of "R", the EDI department of the appropriate vendor will contact the dealer. The corrected invoice will be sent via EDI using the original invoice number. Each vendor creates 810 invoice documents on a different schedule. Guidelines: One Purchase Order number per invoice. Revisions: Release 1.09 06/1/05 8/22/05 - Correction made to add repeat value of >1 for the ITD segment according to the ANSI X12 4010 standard and to eliminate any confusion for the installed B2B user base which is already allowing for more than one ITD segment or planning to allow for more than one ITD segment in the near future using version 1.09. The 810 example was also updated to contain two ITD segments, i.e., showing the ability to send more than one ITD segment. Format Standard: Overall - Updated table borders to more clearly mark loops and nested loops (similar to the 855 & 856). Corrected Header Level Loop ID - N1 segment Max Loop value from 200 (X12 standard value) to 4 (B2B standard value). Removed N1 segment Max Loop value of 4 since this value has been moved up to the N1 Loop level. Removed Detail Level Max Loop value of 200000 from the IT1 segment as it is incorrect…. Although the Detail Level IT1 Max Loop value is correctly stated at 200000, the IT1 segment within the loop should not have a Max Loop value. Updated Detail Level IT1 segment from Optional to Mandatory. Removed the Detail Level PAM segment Max Loop value of 10 as the PAM is not a loop but a segment within the IT1 Loop. Corrected Detail Level Loop ID - PID segment Max Loop value from 1000 (X12 standard value) to 5 (B2B standard value). Removed the Detail Level CAD segment Max Loop value of >1 as the CAD is not a loop but a segment within the IT1 Loop. Added REF segment to Detail Level (Optional). Added SAC segment to Detail Level (Optional) . Added Loop ID – SAC row to mark the beginning of the SAC loop. Release 1.11 Page 1 of 15 Removed the Summary Level CAD segment Max Loop value of >1 as the CAD is not a loop but a segment within the IT1 Loop. Removed Summary Level Max Loop value of 25 from the SAC segment as it is incorrect…. Although the Summary Level SAC Max Loop value is correctly stated at 25, the SAC segment within the loop should not have a Max Loop value. Header Level: Added REF.01&02 BM Bill of Lading Number (Optional). Added REF.01&02 MA Manifest Number (Optional). Added REF.01&02 DO Sender’s Internal Delivery Number (Optional). Added N1.01&02 GL Buyer’s Group Segment (Optional). Added PER.02 Order & Delivery Contact Names (Conditional). Added a max loop count of >1 to the ITD segment. Added ITD.06 Terms Net Due Date (Mandatory) and ITD.08 Amount of Discount (Conditional). Added ITD.12 Terms Description (Optional). Changed ITD.01 Terms Type Code, ITD.02 Terms Basis Date Code from Optional to Mandatory. Changed ITD.03 Terms Discount Percent from Optional to Conditional. Changed ITD.07 Terms Net Days from Optional to Mandatory. Item Level: Added IT1.05 Unit Price Code (Optional). Changed IT1.08 & IT1.09 from PO Number to Purchaser’s Order Line Number (Conditional). Added PID.01 F Free-Form message, PID.02 MAC Material Classification, and PID.05 Product Type Description (see 832 – Price Catalog Appendix A for a listing of valid values) (Optional). Added PID.01 F Free-Form message, PID.02 ZZ, and PID.05 Four-Position Vendor Selling Division or Manufacturer ID Code (Optional). Added REF.01&02 5E for Line Item Sidemark (Optional). Added REF.01&02 PL Price List Number [Number assigned to a set of prices for varying product lines – varies from list (standard) price] (Optional). Added REF.01&02 ZZ Material Grade (Optional). Added REF.01&02 JB Dealer Name or Job/Project Number (Optional). Added SAC segment. Added CAD.01 Transportation Method/Type Code (Optional). Summary Level: Changed TDS.02 Terms discount Amount from Mandatory to Optional. Changed TDS.03 Invoice amount due by terms date from Mandatory to Optional. Changed TDS.04 Total amount of terms discount from Mandatory to Optional. Added CAD.01 Transportation Method/Type Code (Optional). Added SAC.15 Description. 810 Example: Updated example with additions, changes, and corrections including the removal of the ISS Segment as it is not part of the standard. Release 1.11 Page 2 of 15 Format Standard Segment ID ISA GS HEADER LEVEL ST BIG CUR REF LOOP ID – N1 N1 N3 N4 PER ITD DTM FOB DETAIL LEVEL LOOP ID – IT1 IT1 PAM Segment Name Interchange Start Segment Functional Group Header Mandatory/ Optional/ Conditional M M Max Loop Count Transaction Set Header Beginning Segment for Invoice Currency Reference Identification Name Address Information Geographic Location Administrative Communications Contact Terms of Sale/Deferred Terms of Sale Date/Time Reference F.O.B. Related Instructions M M O O 4 O O O O O O >1 200000 Baseline Item Data (Invoice) Period Amount M O 5 O O O O 25 O LOOP ID – IT1/PID PID Product / Item Description P04 REF CAD Item Physical Details Reference Identification Carrier Detail LOOP ID – IT1/SAC SAC Service Charge Information SUMMARY LEVEL TDS CAD LOOP ID – SAC SAC CTT SE GE IEA Total Monetary Value Summary Carrier Detail Service Charge Information Transaction Totals Transaction Set Trailer Functional Group Trailer Interchange End Trailer M O 25 O O M M M Release 1.11 Page 3 of 15 Floor Covering Industry Invoice – ANSI X12 810 Version 4010 Segment Usage Data Element ISA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 GS 1 2 3 4 5 6 Element Number Element Name Element Element Mandatory/ Comments Length Type Optional/ Conditional 02/02 10/10 02/02 10/10 02/02 15/15 02/02 15/15 06/06 04/04 01/01 05/05 09/09 01/01 01/01 01/01 02/02 02/15 02/15 08/08 04/06 01/09 01/02 01/12 03/03 04/09 ID AN ID AN ID AN ID AN DT TM ID ID N0 ID ID AN ID AN AN DT TM N0 ID AN ID AN M 00 = No Authorization Present 00 = No Security Information Present Sender ID Qualifier Sender ID Receiver ID Qualifier Receiver ID YYMMDD HHMM U = U.S. EDI Community of ASC X12, TDCC and UCS 00400 = ANSI-X12 0 = No Acknowledgement Requested T = Test Data P = Production Data INTERCHANGE START SEGMENT I01 Authorization Information Qualifier I02 Authorization Information I03 I04 I05 I06 I05 I07 I08 I09 I10 I11 I12 I13 I14 Security Information Qualifier Security Information Interchange ID Qualifier Interchange Sender ID Interchange ID Qualifier Interchange Receiver ID Interchange Date Interchange Time Interchange Control Standards Identifier Interchange Control Version Number Interchange Control Number Acknowledgement Requested Test Indicator M M M M M M M M M M M M M M M M M IN = Invoice I15 Sub-element Separator FUNCTIONAL GROUP HEADER 479 Functional Identifier Code 142 Group Sender's Code 124 373 337 28 455 Group Receiver's Code Group Date Group Time Group Control Number Responsible Agency Code M M M CCYYMMDD HHMMSS X = Accredited Standards Committee X12 004010 810 = X12 Invoice M M M M M 7 8 ST 1 2 480 Version/Release/Industry Identifier Code TRANSACTION SET HEADER 143 Transaction Set Identifier Code 329 Transaction Set Control Number Release 1.11 Page 4 of 15 Floor Covering Industry Invoice – ANSI X12 810 Version 4010 Segment Usage Data Element BIG 1 2 3 4 CUR 1 2 REF 1 2 REF 1 2 REF 1 2 REF 1 2 REF 1 3 REF 1 2 REF 1 2 N1 1 2 Element Number Element Name Element Element Mandatory/ Comments Length Type Optional/ Conditional 08/08 01/22 08/08 01/12 02/02 03/03 02/02 01/30 02/02 01/30 02/02 01/30 02/02 01/30 02/02 01/80 02/02 01/30 02/03 01/30 02/02 0160 DT AN DT AN ID ID ID AN ID AN ID AN ID AN ID AN ID AN ID AN ID AN M M O O M M M C M C M C M C M C M C M C M C Invoice Date (CCYYMMDD) Invoice Number Purchase Order Date (CCYYMMDD) Purchase Order Number SE = Selling Entity USD = U.S. Dollars CAN = Canadian Dollars MA = Manifest Number Manifest or Bill of Lading Number BM = Bill of Lading Bill of Lading Number DO = Delivery Order Sender’s Internal Delivery Number 11 = Account number Account Number 19 = Division Identifier Selling Company VN = Vendor Order Number Vendor Order Number DP = Department Number Department Number GW= Group Buyer’s Group Name (Abbey, Carpet One, etc.) BEGINNING SEGMENT FOR INVOICE 373 Date 76 Invoice Number 373 Date 324 Purchase Order Number CURRENCY 98 Entity Identifier Code 100 Currency Code REFERENCE IDENTIFICATION 128 Reference Identification Qualifier 127 Reference Identification REFERENCE IDENTIFICATION 128 Reference Identification Qualifier 127 Reference Identification REFERENCE IDENTIFICATION 128 Reference Identification Qualifier 127 Reference Identification REFERENCE IDENTIFICATION 128 Reference Identification Qualifier 127 Reference Identification REFERENCE IDENTIFICATION 128 Reference Identification Qualifier 352 Description REFERENCE IDENTIFICATION 128 Reference Identification Qualifier 127 Reference Identification REFERENCE IDENTIFICATION 128 Reference Identification Qualifier 127 Reference Identification NAME (Buyer’s Group) 98 Entity Identifier Code 93 Name Release 1.11 Page 5 of 15 Floor Covering Industry Invoice – ANSI X12 810 Version 4010 Segment Usage Data Element N1 1 2 3 4 N3 1 2 N4 1 2 3 PER 1 2 3 4 N1 1 2 N3 1 2 N4 1 2 3 N1 1 2 PER 1 Element Number Element Name Element Element Mandatory/ Comments Length Type Optional/ Conditional 02/02 01/60 01/02 04/04 01/55 01/55 02/30 02/02 03/15 02/02 01/60 02/02 01/80 02/02 01/60 01/55 01/55 02/19 02/02 03/15 02/02 01/60 02/02 ID AN ID AN AN AN AN ID ID ID AN ID AN ID AN AN AN AN ID ID ID AN ID M C C C M O O O O M C C C M C M O O O O M C M BY= Buying Party Bill-to Name 92 = Assigned by Buyer Chain Store Number Bill-to Street Address 1 Bill-to Street Address 2 Bill-to City Bill-to State Bill-to Zip Code OC = Order Contact Order Contact Name TE = Telephone Telephone Number ST = Ship-To Ship to Name Ship-To Street Address 1 Ship-To Street Address 2 Ship-To City Ship-To State Ship-To Zip Code OB = Ordered By Consumer Name DC = Delivery Contact NAME (Bill-To) 98 Entity Identifier Code 93 Name 66 ID Code Qualifier 67 ID Code ADDRESS INFORMATION 166 Address 166 Address GEOGRAPHIC LOCATION 19 City Name 156 State/Prov. Code 116 Postal Code ADMINISTRATIVE COMMUNICATIONS CONTACT 366 Contact Function Code 93 Name 365 Communication Number Qualifier 364 Communication Number NAME (Ship-To) 98 Entity Identifier Code 93 Name ADDRESS INFORMATION 166 Address 166 Address GEOGRAPHIC LOCATION 19 City Name 156 State/Prov. Code 116 Postal Code NAME (Order Level Sidemark) 98 Entity Identifier Code 93 Name ADMINISTRATIVE COMMUNICATIONS CONTACT 366 Contact Function Code Release 1.11 Page 6 of 15 Floor Covering Industry Invoice – ANSI X12 810 Version 4010 Segment Usage Data Element 2 3 4 N1 1 2 N3 1 2 N4 1 2 3 ITD 1 2 3 4 5 6 7 8 12 DTM 1 2 FOB 1 Element Number Element Name Element Element Mandatory/ Comments Length Type Optional/ Conditional 01/60 02/02 01/80 02/02 01/35 01/55 01/55 02/19 02/02 03/15 02/02 01/02 01/06 08/08 01/03 08/08 01/03 01/10 01/80 03/03 08/08 02/02 AN ID AN ID AN AN AN AN ID ID ID ID R DT N0 DT N0 N2 AN ID DT ID C C C M M M O O O O M M C C C M M C O M C M Delivery Contact Name TE = Telephone Telephone Number RI = Remit-to Remit-to name Remit-to Street Address 1 Remit-To Street Address 2 Remit-to City Remit-to State Remit-to Zip Code 14 = Previously Agreed Upon 3 = Invoice Date Terms Discount Percent Terms Discount Due Date (CCYYMMDD) Terms Days Due Terms Net Due Date (CCYYMMDD) Terms Net Days Amount of Discount Terms Description 011 = Ship Date Ship Date (CCYYMMDD) CC = Collect PP = Prepaid PC = Prepaid and Charge to Customer NC = No Charge PU = Customer Pick-up 93 Name 365 Communication Number Qualifier 364 Communication Number NAME (Remit-To) 98 Entity Identifier Code 93 Name ADDRESS INFORMATION 166 Address 166 Address GEOGRAPHIC LOCATION 19 City Name 156 State/Prov. Code 116 Postal Code TERMS OF SALE/DEFERRED TERMS OF SALE 336 Terms Type Code 333 Terms Basis Date Code 338 Terms Discount Percent 370 Terms Discount Due Date 351 Terms Discount Days Due 446 Terms Net Due Date 386 Terms Net Days 362 Terms Discount Amount 352 Terms Description DATE/TIME REFERENCE 374 Date/Time Qualifier 373 Date FOB RELATED INSTRUCTIONS 146 Shipment Method of Payment Release 1.11 Page 7 of 15 Floor Covering Industry Invoice – ANSI X12 810 Version 4010 Segment Usage Data Element Element Number Element Name Element Element Mandatory/ Comments Length Type Optional/ Conditional 01/02 01/80 01/20 01/10 02/02 ID AN AN R ID C O O M M DF = Defined by Buyer and Seller OR = Shipping Point FOB Description Seller’s Order Line Number Quantity Invoiced CA = Case EA = Each RL = Roll SF = Square Foot SY = Square Yard LF = Linear Foot CT = Carton PL = Pallet TC = Truckload BG = Bags PA = Pails PC = Pieces SH = Sheets ST = Sets BX = Box Unit Price See IT1.03 List of Codes SK = Stock Keeping Unit (SKU) Item Number (SKU) PL = Purchaser’s Order Line Number Line Number as Submitted in 850 RO = Roll Number Roll Number DL = Dye Lot Dye Lot Number SZ = Vendor Alphanumeric Size Code Size Code 2 3 IT1 1 2 3 309 Location Qualifier 352 Description BASELINE ITEM DATA 350 Assigned Identification 358 Quantity Invoiced 355 Unit of Measurement Code 4 5 6 7 8 9 10 11 12 13 14 15 212 639 235 234 235 234 235 234 235 234 234 235 Unit Price Basis of Unit Price Code Product/Service ID Qualifier Product Service ID Product/Service ID Qualifier Product/Service ID Product/Service ID Qualifier Product/Service ID Product/Service ID Qualifier Product/Service ID Product/Service ID Qualifier Product/Service ID 01/14 02/02 02/02 01/30 02/02 01/03 02/02 01/30 02/02 01/30 02/02 01/30 R ID ID AN ID AN ID AN ID AN ID AN M O O C O C O C O C O C Release 1.11 Page 8 of 15 Floor Covering Industry Invoice – ANSI X12 810 Version 4010 Segment Usage Data Element 16 17 Element Number 235 234 Element Name Product/Service ID Qualifier Product/Service ID Element Element Mandatory/ Comments Length Type Optional/ Conditional 02/02 01/30 ID AN O C PQ = Product ID Attribute Code R = Roll B = Balance S = Sample C = Cut U = Unit BP = Buyer’s Part Number Buyer’s Part Number UP = UPC Code UPC Code EH = Sales Presentation ID Sales Representative Number/Name VA – Vendor Style Number Vendors Style Number CJ = Rebate AK = Margin Dollar Amount CJ = Rebate AK = Margin Percent F = Free form message TRN = Style name Style Name F = Free form message 35 = Color Number Color Number F = Free form message 73 = Color Name 18 19 20 21 22 23 24 25 PAM 4 5 13 14 PID 1 2 5 PID 1 2 5 PID 1 2 235 Product/Service ID Qualifier 234 Product/Service ID 235 Product/Service ID Qualifier 234 Product/Service ID 235 Product/Service ID Qualifier 234 Product/Service ID 235 Product/Service ID Qualifier 234 Product/Service ID PERIOD AMOUNT 522 Amount Qualifier Code 782 1004 Monetary Amount Percent Qualifier 02/02 01/30 02/02 01/30 02/02 01/30 02/02 01/30 01/03 01/10 01/02 01/10 01/01 02/03 01/80 01/01 02/03 01/80 01/01 02/03 ID AN ID AN ID AN ID AN ID R ID R ID ID AN ID ID AN ID ID O C O C O C O C O O O O M O C M O C M O 954 Percent PRODUCT/ITEM DESCRIPTION 349 Item Description Type 750 Prod/Proc Character Code 352 Description PRODUCT/ITEM DESCRIPTION 349 Item Description Type 750 Prod/Proc Character Code 352 Description PRODUCT/ITEM DESCRIPTION 349 Item Description Type 750 Prod/Proc Character Code Release 1.11 Page 9 of 15 Floor Covering Industry Invoice – ANSI X12 810 Version 4010 Segment Usage Data Element 5 PID 1 2 5 Element Number Element Name Element Element Mandatory/ Comments Length Type Optional/ Conditional 01/80 01/01 02/03 01/80 AN ID ID AN C M O C Color Name F = Free Form Message MAC = Material Classification Product Type Description (see 832 – Price Catalog Appendix A for a listing of valid values) F = Free Form Message ZZ = Mutually Defined Vendor Selling Division or Manufacturer Code Quantity of Length Quantity of Width FT = Foot & Inches (inches to the right of decimal) EZ = Foot & Decimal (fraction of inch to the right of decimal) MR = Meters CM = Centimeters 352 Description PRODUCT/ITEM DESCRIPTION 349 Item Description Type 750 Prod/Proc Character Code 352 Description PID 1 2 5 PO4 10 11 13 PRODUCT/ITEM DESCRIPTION 349 Item Description Type 750 Prod/Proc Character Code 352 Description ITEM PHYSICAL DETAILS 82 Length 189 Width 355 Unit of Measure Code 01/01 02/03 01/80 01/08 01/08 02/02 ID ID AN R R ID M O C C C C REF 1 2 REF 1 2 REF 1 2 REF 1 2 CAD REFERENCE IDENTIFICATION 128 Reference Identification Qualifier 02/03 ID C 5E = Consumer Identifier 127 Reference Identification 01/30 AN C Line Item Sidemark REFERENCE IDENTIFICATION 128 Reference Identification Qualifier 02/03 ID C PL = Price List Number 127 Reference Identification 01/30 AN C Price List Number REFERENCE IDENTIFICATION 128 Reference Identification Qualifier 02/03 ID C ZZ = Mutually Defined 127 Reference Identification 01/30 AN C Material Grade REFERENCE IDENTIFICATION 128 Reference Identification Qualifier 02/03 ID C JB = Job (Project) Number 127 Reference Identification 01/30 AN C Dealer Name or Job/Project CARRIER DETAILS (ROUTING SEQUENCE/TRANSIT TIME) (used when there are multiple bills of lading per invoice) Release 1.11 Page 10 of 15 Floor Covering Industry Invoice – ANSI X12 810 Version 4010 Segment Usage Data Element 1 Element Number 91 Element Name Transportation Method/Type Code Element Element Mandatory/ Comments Length Type Optional/ Conditional 1/2 ID O J = Motor M = Motor (Common Carrier) H = Customer Pickup FL = Motor (Flatbed) VA = Motor (Van) LT= Less Than Trailer Load (LTL) D = Parcel Post SCAC Carrier Description BM = Bill of Lading Bill of Lading Number C = Charge A = Allowance Charge Code: A130 = Sales Aid Material A260 = Advertising A730 = Brokerage or Duty B940 = Cutting Charge C040 = Delivery Charges C310 = Discount D240 = Freight Charges D270 = Fuel Surcharge D360 = GST E190 = Labor Charges G160 = Redelivery Charges G470 = Restocking H070 = Special Finish Charge (Binding) H740 = Sales & Use Tax H750 = State & Local Sales Tax H900 = Carrier Notification Charge (Call Charges) Charge Amount 02 = Off Invoice 4 5 7 8 SAC 1 2 140 SCAC (Standard Carrier Alpha Code) 387 Routing 128 Reference Number Qualifier 127 Reference Identification SERVICE CHARGE INFORMATION 248 Allowance or Charge Indicator 1300 Service Promotion Code 02/04 01/35 02/03 01/30 01/01 04/04 ID AN ID AN ID ID C C O C M C 5 12 610 331 Amount Allowance or Charge Method of Handling 01/15 02/02 N2 ID O O Release 1.11 Page 11 of 15 Floor Covering Industry Invoice – ANSI X12 810 Version 4010 Segment Usage Data Element 15 TDS 1 2 3 4 CAD 1 Element Number Element Name Element Element Mandatory/ Comments Length Type Optional/ Conditional 01/80 01/15 01/15 AN N2 N2 N2 N2 ID O M C C C O Description Total Invoice Amount Amount upon which the terms discount amount is calculated Amount of invoice due if paid by terms discount due date Total amount of terms discount J = Motor M = Motor (Common Carrier) H = Customer Pickup FL = Motor (Flatbed) VA = Motor (Van) LT= Less Than Trailer Load (LTL) D = Parcel Post SCAC Carrier Description BM = Bill of Lading Bill of Lading Number C = Charge A = Allowance Charge Code A130 = Sales Aid Material A260 = Advertising A730 = Brokerage or Duty B940 = Cutting Charge C040 = Delivery Charges C310 = Discount D240 = Freight Charges D270 = Fuel Surcharge D360 = GST E190 = Labor Charges G160 = Redelivery Charges 352 Description TOTAL MONETARY VALUE SUMMARY 610 Total Invoice Amount 610 Terms discount Amount 610 Invoice amount due by terms date 01/15 610 Total amount of terms discount 01/15 CARRIER DETAILS (ROUTING SEQUENCE/TRANSIT TIME) 91 Transportation Method/Type Code 1/2 4 5 7 8 SAC 1 2 140 SCAC (Standard Carrier Alpha Code) 387 Routing 128 Reference Number Qualifier 127 Reference Identification SERVICE CHARGE INFORMATION 248 Allowance or Charge Indicator 1300 Service Promotion Code 02/04 01/35 02/03 01/30 01/01 04/04 ID AN ID AN ID ID C C O C M C Release 1.11 Page 12 of 15 Floor Covering Industry Invoice – ANSI X12 810 Version 4010 Segment Usage Data Element Element Number Element Name Element Element Mandatory/ Comments Length Type Optional/ Conditional G470 = Restocking H070 = Special Finish Charge (Binding) H740 = Sales & Use Tax H750 = State & Local Sales Tax H900 = Carrier Notification Charge (Call Charges) Charge Amount 02 = Off Invoice Description Total Number of IT1 Segments 5 12 15 CTT 1 SE 1 2 GE 1 2 IEA 1 2 Amount Allowance or Charge Method of Handling 352 Description TRANSACTION TOTALS 354 Number of Line Items TRANSACTION SET TRAILER 96 Number of Included Segments 329 Transaction Set Control Number FUNCTIONAL GROUP TRAILER 97 Number of Transaction Sets Included 28 Group Control Number INTERCHANGE END TRAILER I16 Number of Included Functional Groups I12 Interchange Control Number 610 331 01/15 02/02 01/80 01/06 01/10 04/09 01/06 01/09 01/05 09/09 N2 ID AN N0 N0 AN N0 N0 N0 N0 O O O M M M M M M M Release 1.11 Page 13 of 15 Example – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – ST*810*0001 BIG*20010206*123456*20010201*234567 CUR*SE*USD REF*MA*Manifest or Bill of Lading Number REF*BM*Bill of Lading Number REF*DO*Sender’s Internal Delivery Number REF*11*Account Number REF*19**Name of selling company REF*VN*Order Number REF*DP*Department Number N1*GW*Group Account (Abbey, Carpet One, etc.) N1*BY*Customer Company Name*92*Chain Store Number N3*123 Profit Street*BLD B N4*Atlanta*GA*30303 PER*OC* Order Contact Name*TE*Order Contact Telephone Number N1*ST*Customer Company Name N3*123 Profit Street*BLD B N4*Atlanta*GA*30303 N1*OB*Consumer Name PER*DC*Delivery Contact Name*TE*Delivery Contact Telephone Number N1*RI*Remit To Name N3*Lock Box Information N4*Dalton*GA*30719 ITD*14*3*6*20010201*15*20010216*31*1620***Terms Description ITD*14*3*5*20010216*30*20010216*31*1410***Terms Description DTM*011*20010205 FOB*CC*OR*MILL IT1 Detail Loops IT1*1*145.33*SY*1.01*SY*SK*123456*PL*Purchaser’s Order Line Number*RO*123456789* DL*998877*SZ*1500*PQ*R*BP*123456*UP*987654321123*EH*Bob Miller*VA*A5678 PAM*AK*2.00*AK*1 PID*F*TRN***CEDAR PID*F*35**Color Number PID*F*73***GREEN PID*F*MAC***PRODUCT TYPE PID*F*ZZ***Vendor Selling Division or Manufacturer Code (e.g., MOHR, SH30, ARMS, etc.) PO4**********87.24*15**FT REF*5E*Buyer’s Line Item Sidemark REF*PL*Price List Number REF*ZZ*Material Grade REF*JB*Dealer Name or Job/Project Number SAC*C*H070***2050*******02***Binding SAC*C*D240***3550*******02***Freight Charge CAD*VA****MARYLAND·STREAKER/EXCEPTION**BM*BLading# IT1*2*52.67*SY*1.02*SY*SK*54321*PL*Purchaser’s Order Line Number*RO*123456790* DL*979797*SZ*1200*PQ*R*BP*123456*UP*987654321223*EH*Bob Miller*VA*A5679 PAM*AK*2.00*AK*1 PID*F*TRN***DEEP VALLEY PID*F*35**Color Number PID*F*73***SUEDE PID*F*MAC***PRODUCT TYPE PID*F*ZZ***Vendor Selling Division or Manufacturer Code (MOHR, SH30, ARMS, etc.) PO4**********39.6*12**FT Release 1.11 Page 14 of 15 – – – – – – – – – – REF*5E*Buyer’s Line Item Sidemark SAC*C*D240***1500*******02***Freight Charge CAD*VA****MARYLAND·STREAKER/EXCEPTION**BM*Bill of Lading# Summary TDS*23600*23600*22184*1416 CAD*VA****MARYLAND·STREAKER/EXCEPTION**BM*Bill of Lading# (If single shipment) SAC*C*H070***2050*******02***Binding SAC*C*D240***5050*******02***Freight Charge CTT*2 SE*50*0001 Release 1.11 Page 15 of 15