X12 810 Non-Merchandise Invoice
This Draft Standard for Trial Use contains the format and establishes the data contents of the Invoice Transaction Set (810) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to provide for customary and established business and industry practice relative to the billing for goods and services provided.
- ~ Segment
- * Element
- > Component
Interchange Control Header
To start and identify an interchange of zero or more functional groups and interchange-related control segments
Code to identify the type of information in the Authorization Information
- 00
- No Authorization Information Present (No Meaningful Information in I02)
Information used for additional identification or authorization of the interchange sender or the data in the interchange; the type of information is set by the Authorization Information Qualifier (I01)
Code to identify the type of information in the Security Information
- 00
- No Security Information Present (No Meaningful Information in I04)
This is used for identifying the security information about the interchange sender or the data in the interchange; the type of information is set by the Security Information Qualifier (I03)
Qualifier to designate the system/method of code structure used to designate the sender or receiver ID element being qualified
Identification code published by the sender for other parties to use as the receiver ID to route data to them; the sender always codes this value in the sender ID element
Qualifier to designate the system/method of code structure used to designate the sender or receiver ID element being qualified
Identification code published by the receiver of the data; When sending, it is used by the sender as their sending ID, thus other parties sending to them will use this as a receiving ID to route data to them
Code to identify the agency responsible for the control standard used by the message that is enclosed by the interchange header and trailer
- U
- U.S. EDI Community of ASC X12, TDCC, and UCS
This version number covers the interchange control segments
- 00401
- Draft Standards for Trial Use Approved for Publication by ASC X12 Procedures Review Board through October 1997
A control number assigned by the interchange sender
Code sent by the sender to request an interchange acknowledgment (TA1)
- 0
- No Acknowledgment Requested
- 1
- Interchange Acknowledgment Requested
Code to indicate whether data enclosed by this interchange envelope is test, production or information
- I
- Information
- P
- Production Data
- T
- Test Data
Type is not applicable; the component element separator is a delimiter and not a data element; this field provides the delimiter used to separate component data elements within a composite data structure; this value must be different than the data element separator and the segment terminator
- >
- Component Element Separator
Functional Group Header
To indicate the beginning of a functional group and to provide control information
Code identifying a group of application related transaction sets
- IN
- Invoice Information (810,819)
Code identifying party sending transmission; codes agreed to by trading partners
Code identifying party receiving transmission. Codes agreed to by trading partners
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99)
Assigned number originated and maintained by the sender
Code used in conjunction with Data Element 480 to identify the issuer of the standard
- T
- Transportation Data Coordinating Committee (TDCC)
- X
- Accredited Standards Committee X12
Code indicating the version, release, subrelease, and industry identifier of the EDI standard being used, including the GS and GE segments; if code in DE455 in GS segment is X, then in DE 480 positions 1-3 are the version number; positions 4-6 are the release and subrelease, level of the version; and positions 7-12 are the industry or trade association identifiers (optionally assigned by user); if code in DE455 in GS segment is T, then other formats are allowed
- 004010
- Draft Standards Approved for Publication by ASC X12 Procedures Review Board through October 1997
Heading
Transaction Set Header
To indicate the start of a transaction set and to assign a control number
Code uniquely identifying a Transaction Set
- The transaction set identifier (ST01) used by the translation routines of the interchange partners to select the appropriate transaction set definition (e.g., 810 selects the Invoice Transaction Set).
- 810
- Invoice
Beginning Segment for Invoice
To indicate the beginning of an invoice transaction set and transmit identifying numbers and dates
Date expressed as CCYYMMDD
- BIG01 is the invoice issue date.
Burlington Stores uses the 'BIG01' segment for the Invoice Issue Date;
expressed as CCYYMMDD; also known as the 'invoice date.' this is a critical piece of information in the invoicing process
Identifying number assigned by issuer
Burlington Stores requires the invoice number in the BIG01, as of the time of this specification the invoice number MUST be numeric; all other values are removed prior to entry into the Burlington Stores 3-way match system. In other words, all prefixes, suffixes and non-numeric characters such as #, _, and -- are stripped out during translation into the Burlington Stores 3-way match system. For example, If the invoice is transmitted as 'ABC-123456-XYZ', the invoice number recorded in the Burlington Stores 3-way match system will be just '123456'
The maximum field length for Invoice in the Burlington Stores 3-way match system is 15 characters.
Date expressed as CCYYMMDD
- BIG03 is the date assigned by the purchaser to purchase order.
Burlington Stores uses the 'BIG03' segment for the Purchase Order Date expressed as CCYYMMDD. This date can be sourced from the 'BEG05' Date field in thePurchase Order (850).
Identifying number for Purchase Order assigned by the orderer/purchaser
Number identifying a release against a Purchase Order previously placed by the parties involved in the transaction
Currency
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
Code identifying an organizational entity, a physical location, property or an individual
Burlington Stores only supports USD at this time.
- BY
- Buying Party (Purchaser)
Reference Identification
To specify identifying information
Code qualifying the Reference Identification
- DP
- Department Number
- P4
- Project Code
Burlington Stores uses the 'P4' qualifier to identify a project code when available so that this information is available to the seller to return on the invoice so that invoice processing is unimpeded.
- RQ
- Purchase Requisition Number
Burlington Stores uses the 'RQ' qualifier in the REF01 segment in the 850 to identify the 'requisition number' from the web order when the product is ordered through Bunzl. Burlington Stores uses the Bunzl requisition number from the web site as an external key to tie the Burlington Stores Purchase order number to the source of the purchase request (or requisition). Returning this value serves as an additional reference for the invoice in the event a systemic match to the order is not automatic. This reference value should be considered for use by any vendor accepting orders from Burlington Stores that originated in the Bunzl system.
Burlington Stores returns both the requisition number and the purchase order number in the purchase order document (850) in the REF02 segment. The 'requisition number' can be found in the Purchase Order Acknowledgement (855) in the BAK06 Request Reference Number field
- VR
- Vendor ID Number
Burlington Stores requires the 'VR' qualifier to identify the vendor on the invoice so that this information is available to the matching process and so that invoice processing continues unimpeded.
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
Burlington Stores requires the Purchase Order Line Item Identifier described by the REF02 segment with the 'BV' qualifier in the REF01. Burlington Stores sends the 'BV' qualifier in the REF01 segment in the purchase order to describe the Purchase Order Line Item Identifier found in the REF02 segment. The Burlington Stores procurement system issues the Purchase Order Line Item Identifier, which must be sent on subsequent documents such as the invoice to ensure accurate receipts and timely payments to our vendors.
Name
To identify a party by type of organization, name, and code
Code identifying an organizational entity, a physical location, property or an individual
- RI
- Remit To
Burlington Stores always requires 'Remit to' information. The N106 is used to indicate the remit-to party when the remit-to party is a factor. N106 can be used only when N101 contains code “RI”. If N101 equal to “RI” the identification code qualifier in N103 must be equal '1.'
Remit to address is transmitted to provide Burlington Stores with remittance address information or to override the vendor’s default pay site code in the event of a factor or other participating entity.
- ST
- Ship To
Burlington Stores requires the Ship To address with “ST” qualifier. When N101 = 'ST' and N103 = '92' then N104 = the Burlington Stores Store or DC#
*For a complete list of stores check
http://vendor.burlingtoncoatfactory.com/lists/allStores.bcf - VN
- Vendor
- Z7
- Mark-for Party
Free-form name
Burlington Stores accepts a maximum field length of 32 in this field for example:
BT = Burlington Stores Warehouse, Inc.
Code designating the system/method of code structure used for Identification Code (67)
- 1
- D-U-N-S Number, Dun & Bradstreet
- 9
- D-U-N-S+4, D-U-N-S Number with Four Character Suffix
- 92
- Assigned by Buyer or Buyer's Agent
- 94
- Code assigned by the organization that is the ultimate destination of the transaction set
- UL
- UCC/EAN Location Code
The UCC/EAN Location Code is now known as the Global Location Number (GLN). The GLN is a globally unique 13 digit code for the identification of a legal, functional or physical location within the GS1 numbering system, formerly the Uniform Code Council (UCC) and International Article Number Association (EAN) numbering system. See more here:
http://www.gs1.org/docs/idkeys/GS1_Global_Location_Numbers.pdf
Code identifying a party or other code
- This segment, used alone, provides the most efficient method of providing organizational identification. To obtain this efficiency the "ID Code" (N104) must provide a key to the table maintained by the transaction processing party.
When N101 = “ST” and N103 = “92” then N104 = Store or DC#
For a complete list of stores check http://vendor.burlingtoncoatfactory.com/lists/allStores.bcf
If N101 = “RI”, the identification code qualifier in N103 must = '1' and N104 must = D-U-N-S Number
Additional Name Information
To specify additional names or those longer than 35 characters in length
Address Information
To specify the location of the named party
Geographic Location
To specify the geographic place of the named party
Free-form text for city name
- A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location.
Code (Standard State/Province) as defined by appropriate government agency
- N402 is required only if city name (N401) is in the U.S. or Canada.
Code defining international postal zone code excluding punctuation and blanks (zip code for United States)
Terms of Sale/Deferred Terms of Sale
To specify terms of sale
Burlington Stores uses the 'ITD' segment on the Purchase orders to indicate the terms of sale agreement between the buyer and the seller.
Burlington Stores uses an invoice matching system that compares the PO terms and discounts stored in the order entry system and compares them to what is contained by the ITD segment. This processing scenario always uses the 'better deal' scenario in regards to the payment of invoices.
The ITD segment is Optional in the invoice and can be left out to avoid invoicing issues with regards to the PO terms and discounts, in other words; invoicing at the PO price without incorporating discounts will not have an adverse effect.
If you are planning on using the ITD segment in the invoice, please make sure that your ITD segment matches the PO precisely inclusive of all the PO terms and discounts.
Code identifying type of payment terms
- If the code in ITD01 is "04", then ITD07 or ITD09 is required and either ITD10 or ITD11 is required; if the code in ITD01 is "05", then ITD06 or ITD07 is required.
Need more details on Non merch Invoicing
- 01
- Basic
- 36
- Contract Basis
Code identifying the beginning of the terms period
- 1
- Ship Date
- 2
- Delivery Date
- 3
- Invoice Date
- 4
- Specified Date
- 7
- Effective Date
- 8
- Invoice Transmission Date
- 15
- Receipt of Goods
Burlington Stores uses the '15' qualifier to indicate that the extension days on the invoice is qualified using the 'receipt of goods' methodology.
Burlington Stores uses a valuated goods receipt method for processing invoices; the system posts a debit to the asset or goods and a credit to the ‘Goods receipt/invoice receipt’ clearing account in order to process the invoice. Invoices should be sent with periods dated from the 'receipt of goods' date
Terms discount percentage, expressed as a percent, available to the purchaser if an invoice is paid on or before the Terms Discount Due Date
The ITD03 or Terms Discount Percentage is expressed as a percent and is available to the purchaser if an invoice is paid on or before the terms Discount Due Date. The percent is sent with a decimal point only when needed, e.g., 10.5% is sent as “10.5”, and 2% is sent as “2”.
Date payment is due if discount is to be earned expressed in format CCYYMMDD
Number of days in the terms discount period by which payment is due if terms discount is earned
Date when total invoice amount becomes due expressed in format CCYYMMDD
Number of days until total invoice amount is due (discount not applicable)
Date/Time Reference
To specify pertinent dates and times
Detail
Baseline Item Data (Invoice)
To specify the basic and most frequently used line item data for the invoice and related transactions
Alphanumeric characters assigned for differentiation within a transaction set
- IT101 is the purchase order line item identification.
Burlington Stores uses the IT101 to identify the Burlington Stores Purchase Order Line Number, this value must be numeric, the numeric character set consists of the numbers 0 to 9, for example: 1, 120, and 999 are all numeric values. Leading zeros are not used.
Number of units invoiced (supplier units)
Burlington Stores requires the use of the IT102 segment on invoices to indicate the Quantity of the items being invoiced.
Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken
Burlington Stores requires the use of the IT103 segment on invoices to indicate the Unit or Basis for Measurement Code for the item(s) being invoiced.
- BD
- Bundle
- BO
- Bottle
- BX
- Box
- CA
- Case
- CS
- Cassette
- DZ
- Dozen
Burlington Stores uses the 'DZ' qualifier to describe items sold in dozens such as pens and pencils in the Burlington Stores Procurement System
- EA
- Each
- GS
- Gross
Burlington Stores uses the 'GS' qualifier to describe items sold in Gross quantities such as shoe clips and peds in the Burlington Stores Procurement System
- KT
- Kit
- LO
- Lot
Burlington Stores uses the 'LO' qualifier to describe items sold in Lots as would be the case for print jobs in the Burlington Stores Procurement System
- PH
- Pack (PAK)
- PK
- Package
- PL
- Pallet/Unit Load
Burlington Stores uses the 'PL' qualifier to describe pallet loads of items sold as such in the Burlington Stores Procurement System
- PR
- Pair
Burlington Stores uses the 'PR' qualifier to describe pairs of items sold in pairs only such as gloves in the Burlington Stores Procurement System
- RL
- Roll
Burlington Stores uses the 'RL' qualifier to describe sets of items sold by the roll such as garment film and shrink wrap in the Burlington Stores Procurement System
- RM
- Ream
Burlington Stores uses the 'RM' qualifier to describe reams of colored paper in the Burlington Stores Procurement System; Note: Standard 'Copy' paper uses the 'CS' qualifier.
- ST
- Set
Burlington Stores uses the 'ST' qualifier to describe sets of items such as size dividers in the Burlington Stores Procurement System
- UN
- Unit
Burlington Stores uses the 'UN' qualifier to describe units that are undefined by other means in the Burlington Stores procurement system
Price per unit of product, service, commodity, etc.
Burlington Stores requires the use of the IT104 segment on invoices to indicate the Unit Price for the item(s) being invoiced.
Code identifying the type of unit price for an item
- NT
- Net
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
- IT106 through IT125 provide for ten different product/service IDs for each item. For example: Case, Color, Drawing No., U.P.C. No., ISBN No., Model No., or SKU.
Burlington Stores requires the presence of the 'IN' qualifier or the 'UP'
qualifier in the IT106 Burlington Stores also requires the presence of the 'IT' qualifier or the 'VA' qualifier in the IT106
- IN
- Buyer's Item Number
- IT
- Buyer's Style Number
- UP
- U.P.C. Consumer Package Code (1-5-5-1)
- VA
- Vendor's Style Number
Identifying number for a product or service
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
- VN
- Vendor's (Seller's) Item Number
Identifying number for a product or service
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
- PL
- Purchaser's Order Line Number
Identifying number for a product or service
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
- UP
- U.P.C. Consumer Package Code (1-5-5-1)
Burlington Stores requires the vendor to send 'UP' in the IT112 segment when available.
State and Local Sales Tax
To specify tax information
Burlington Stores uses the 'VA' Tax Type Code to identify the Puerto Rico VAT Tax in the TXI01 field with the tax
Monetary Amount specified for the line item in the TXI02 field and Percent specified in the TXI03 field.
Code specifying the type of tax
- LS
- State and Local Sales Tax
Monetary amount
- TXI02 is the monetary amount of the tax.
Value Added Tax
To specify tax information
Burlington Stores uses the 'VA' Tax Type Code to identify the Puerto Rico VAT Tax in the TXI01 field with the tax
Monetary Amount specified for the line item in the TXI02 field and Percent specified in the TXI03 field.
Monetary amount
- TXI02 is the monetary amount of the tax.
Product/Item Description
To describe a product or process in coded or free-form format
Code indicating the format of a description
- If PID01 equals "F", then PID05 is used. If PID01 equals "S", then PID04 is used. If PID01 equals "X", then both PID04 and PID05 are used.
- F
- Free-form
Code identifying the agency assigning the code values
- Use PID03 to indicate the organization that publishes the code list being referred to.
- AS
- Assigned by Seller
A code from an industry code list which provides specific data about a product characteristic
- PID04 should be used for industry-specific product description codes.
Burlington Stores sends the PID04 to communicate the Burlington Stores 'shipment ID' from the Procurement system in the PO sent to the vendor. the procurement system 'shipment ID' is a precise line reference used during the PO to Payment process at Burlington Stores. This reference must be returned to on the Invoice in the PID04 field.
Summary
Total Monetary Value Summary
To specify the total invoice discounts and amounts
Carrier Detail
To specify transportation details for the transaction
Code specifying the method or type of transportation for the shipment
- A
- Air
- AE
- Air Express
- BU
- Bus
- C
- Consolidation
- CE
- Customer Pickup / Customer's Expense
- D
- Parcel Post
- E
- Expedited Truck
- H
- Customer Pickup
- L
- Contract Carrier
- LT
- Less Than Trailer Load (LTL)
- M
- Motor (Common Carrier)
- O
- Containerized Ocean
- P
- Private Carrier
- R
- Rail
- S
- Ocean
- SR
- Supplier Truck
- T
- Best Way (Shippers Option)
- U
- Private Parcel Service
Prefix or alphabetic part of an equipment unit's identifying number
Sequencing or serial part of an equipment unit's identifying number (pure numeric form for equipment number is preferred)
Code qualifying the Reference Identification
- BM
- Bill of Lading Number
- CN
- Carrier's Reference Number (PRO/Invoice)
- SI
- Shipper's Identifying Number for Shipment (SID)
Burlington Stores uses an invoice matching system that compares the PO terms and discounts stored in the order entry system and compares them to what is contained by the SAC segment. This processing scenario always uses the 'better deal' scenario in regards to the payment of invoices.
The SAC segment is Optional and can be left out to avoid invoicing issues with regards to the PO terms and discounts, in other words; invoicing at the PO price without incorporating allowances or charges will not have an adverse effect.
Service, Promotion, Allowance, or Charge Information
To request or identify a service, promotion, allowance, or charge; to specify the amount or percentage for the service, promotion, allowance, or charge
Code which indicates an allowance or charge for the service specified
- If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 is required.
- C
- Charge
Code identifying the service, promotion, allowance, or charge
- C030
- Delivery Surcharge
Burlington Stores is looking in the 'SAC02' where the 'SAC02' = C030 for delivery charges
- D230
- Freight Surcharge
- D240
- Freight
- D270
- Fuel Surcharge
- D500
- Handling
Burlington Stores is looking in the 'SAC02' where the 'SAC02' = D500 for any applicable handling charges
- F050
- Other (See related description)
- F340
- Pick/Up
- G970
- Small Order Charge
Monetary amount
- SAC05 is the total amount for the service, promotion, allowance, or charge.
- If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence.
Tax Information
To specify tax information
Burlington Stores uses this segment to describe any taxes levied on the preceding SAC segment as they would relate to Service, Promotion, Allowance, or Charge Information
Code specifying the type of tax
- ET
- Energy Tax
- LO
- Local Tax (Not Sales Tax)
- LS
- State and Local Sales Tax
- PS
- State or Provincial Tax on Services
- SA
- State or Provincial Fuel Tax
Monetary amount
- TXI02 is the monetary amount of the tax.
Transaction Totals
To transmit a hash total for a specific element in the transaction set
- Number of line items (CTT01) is the accumulation of the number of IT1 segments.
If used, hash total (CTT02) is the sum of the value of quantities invoiced (IT102) for each IT1 segment.
Total number of line items in the transaction set
Sum of values of the specified data element. All values in the data element will be summed without regard to decimal points (explicit or implicit) or signs. Truncation will occur on the left most digits if the sum is greater than the maximum size of the hash total of the data element.
-.0018 First occurrence of value being hashed.
.18 Second occurrence of value being hashed.
1.8 Third occurrence of value being hashed.
18.01 Fourth occurrence of value being hashed.
1855 Hash total prior to truncation.
855 Hash total after truncation to three-digit field.
Transaction Set Trailer
To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)
Total number of segments included in a transaction set including ST and SE segments
Functional Group Trailer
To indicate the end of a functional group and to provide control information
Total number of transaction sets included in the functional group or interchange (transmission) group terminated by the trailer containing this data element
Interchange Control Trailer
To define the end of an interchange of zero or more functional groups and interchange-related control segments
Invoice Sample: 840104
GS|IN|SENDERGS|RECEIVERGS|20231106|135734|000000001|X|004010
ST|810|000010287
BIG|20130718|29642585|20130711|840104||||00
REF|RQ|2421457
REF|VR|648121
N1|RI|SUPPLIER SALES COMPANY, LLC|1|0596518692900
N3|SUPPLIER AR DEPT.|100 COLLECTIONS CENTER DRIVE
N4|CHICAGO|IL|60693
N1|ST|BURLINGTON COAT FACTORY #568 G3|9|568
N3|320 WEST AVENUE P
N4|PALMDALE|CA|93551
DTM|011|20130718
IT1|18|1|BX|12.86||IN|01032.0015|VN|B4662060
PID|F||AS|1|SELF RETRACTING UTILITY KNIFE
IT1|4|1|PK|7.59||IN|00615.0040|VN|B83907065
PID|F||AS|1|HANG TAB 1.25X1-5/8
IT1|5|1|PK|6.23||IN|00615.0046|VN|B85310395
PID|F||AS|1|SOCK HANGER #32 BLACK
IT1|1|1|BX|15.17||IN|00018.0176|VN|F64600315
PID|F||AS|1|BURLINGTON COAT FACTORY
IT1|6|1|CS|18.1||IN|00620.0022|VN|14500164
PID|F||AS|1|URINAL SCREEN W/NONPARA BLOCK
IT1|27|2|EA|5||IN|01044.0003|VN|15409507
PID|F||AS|1|09507 JRT JR ESCORT T/T DISPR
IT1|19|1|PK|5.58||IN|01038.0032|VN|34764289
PID|F||AS|1|A/1526200 ALCOHOL WIPES 200
IT1|17|5|PK|2.76||IN|01025.0038|VN|423601025
PID|F||AS|1|AMRAM TAGGING NEEDLE STD #AAN
TDS|8933
CTT|8
SE|30|000010287
GE|1|000000001
IEA|1|000000001
Invoice Sample: 840132
GS|IN|SENDERGS|RECEIVERGS|20231106|135744|000000001|X|004010
ST|810|000010288
BIG|20130718|29642586|20130711|840132||||00
REF|RQ|2421982
REF|VR|648121
N1|RI|SUPPLIER SALES COMPANY, LLC|1|0596518692900
N3|SUPPLIER AR DEPT.|100 COLLECTIONS CENTER DRIVE
N4|CHICAGO|IL|60693
N1|ST|BURLINGTON COAT FACTORY# 588 G3|9|588
N3|5243 AIRPORT ROAD
N4|TOLEDO|OH|43615
DTM|011|20130718
IT1|13|1|BX|22.93||IN|01032.0016|VN|B4662118
PID|F||AS|1|ROUNDED TIP REPLACEMENT BLADES
IT1|2|1|PK|7.59||IN|00615.0040|VN|B83907065
PID|F||AS|1|HANG TAB 1.25X1-5/8
IT1|1|1|BX|15.17||IN|00018.0176|VN|F64600315
PID|F||AS|1|BURLINGTON COAT FACTORY
IT1|11|1|BX|37.27||IN|01004.0091|VN|F65010185
PID|F||AS|1|01004.0091 PRICE REDUCTION TAG
IT1|12|1|RL|5.21||IN|01004.0092|VN|F65010191
PID|F||AS|1|01004.0092 PRICE REDUCTION
IT1|17|2|RL|5.84||IN|01056.0081|VN|F65010401
PID|F||AS|1|01056.0081 DISPLAY SHOE
IT1|3|1|CS|18.1||IN|00620.0022|VN|14500164
PID|F||AS|1|URINAL SCREEN W/NONPARA BLOCK
IT1|8|1|CS|6.6||IN|00670.0003|VN|778400075
PID|F||AS|1|ALV9 9VOLT ALKALINE BATTERY
TDS|12455
CTT|8
SE|30|000010288
GE|1|000000001
IEA|1|000000001
Invoice Sample: 842201
GS|IN|SENDERGS|RECEIVERGS|20231106|135752|000000001|X|004010
ST|810|000010071
BIG|20130803|53121532|20130801|842201||||00
REF|RQ|2520959
REF|VR|648121
N1|RI|SUPPLIER SALES COMPANY |1|0596518695300
N3|REMIT PAYMENTS ONLY|PO BOX 8
N4|DALLAS|TX|752847348
N1|ST|BURLINGTON #559 G1|9|559
N3|6537 N.E. LOOP 820
N4|NORTH RICHLAND HILLS|TX|761806010
DTM|011|20130803
IT1|1|3|CS|61.64||IN|00034.0105|VN|76270850
TXI|LS|15.26
PID|F||AS|1|10004997 BURLINGTON COAT
TDS|20018
CTT|1
SE|17|000010071
GE|1|000000001
IEA|1|000000001
Invoice Sample: 843281
GS|IN|SENDERGS|RECEIVERGS|20231106|135800|000000001|X|004010
ST|810|000010072
BIG|20130803|53121644|20130801|843281||||00
REF|RQ|2561040
REF|VR|648121
N1|RI| SUPPLIER SALES COMPANY|1|0596518695300
N3|REMIT PAYMENTS ONLY|PO BOX 847348
N4|DALLAS|TX|752847348
N1|ST|BURLINGTON #481 G1|9|481
N3|1200 S. ABELINE SREET
N4|AURORA|CO|800124629
DTM|011|20130803
IT1|4|10|CS|21.82||IN|01042.0004|VN|13800360
TXI|LS|17.46
PID|F||AS|1|HDN3660H 36X60 CANLINER H/D
IT1|2|8|CS|32.43||IN|01040.0064|VN|18309089
PID|F||AS|1|1019089 BRAG BAG 13-MIC
IT1|3|14|CS|30.16||IN|01040.0065|VN|18309090
PID|F||AS|1|1019090 BRAG BAG 15-MIC
IT1|1|2|CS|60.5||IN|01001.0007|VN|49055788
TXI|LS|9.68
PID|F||AS|1|9090-5788 BURLINGTON COAT
TDS|129100
SAC|C|D240|||24298||||||||||FREIGHT CHARGE (NO TAX)
CTT|4
SE|25|000010072
GE|1|000000001
IEA|1|000000001
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