Burlington
/
Non-Merchandise Invoice
  • Specification
  • EDI Inspector
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X12 810 Non-Merchandise Invoice

X12 Release 4010
Delimiters
  • ~ Segment
  • * Element
  • > Component
EDI samples
  • Invoice Sample: 840104
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Overview
ISA
-
Interchange Control Header
Max use 1
Required
GS
-
Functional Group Header
Max use 1
Required
heading
ST
010
Transaction Set Header
Max use 1
Required
BIG
020
Beginning Segment for Invoice
Max use 1
Required
CUR
040
Currency
Max use 1
Optional
REF
050
Reference Identification
Max use 12
Optional
N1 Loop
ITD
130
Terms of Sale/Deferred Terms of Sale
Max use 1
Optional
DTM
140
Date/Time Reference
Max use 10
Optional
GE
-
Functional Group Trailer
Max use 1
Required
IEA
-
Interchange Control Trailer
Max use 1
Required
ISA

Interchange Control Header

RequiredMax use 1
Example
ISA-01
I01
Authorization Information Qualifier
Required
Identifier (ID)
00
No Authorization Information Present (No Meaningful Information in I02)
ISA-02
I02
Authorization Information
Required
String (AN)
Min 10Max 10
ISA-03
I03
Security Information Qualifier
Required
Identifier (ID)
00
No Security Information Present (No Meaningful Information in I04)
ISA-04
I04
Security Information
Required
String (AN)
Min 10Max 10
ISA-05
I05
Interchange ID Qualifier
Required
Identifier (ID)
Min 2Max 2
Codes
ISA-06
I06
Interchange Sender ID
Required
String (AN)
Min 15Max 15
ISA-07
I05
Interchange ID Qualifier
Required
Identifier (ID)
Min 2Max 2
Codes
ISA-08
I07
Interchange Receiver ID
Required
String (AN)
Min 15Max 15
ISA-09
I08
Interchange Date
Required
Date (DT)
YYMMDD format
ISA-10
I09
Interchange Time
Required
Time (TM)
HHMM format
ISA-11
I10
Interchange Control Standards Identifier
Required
Identifier (ID)
U
U.S. EDI Community of ASC X12, TDCC, and UCS
ISA-12
I11
Interchange Control Version Number
Required
Identifier (ID)
00401
Draft Standards for Trial Use Approved for Publication by ASC X12 Procedures Review Board through October 1997
ISA-13
I12
Interchange Control Number
Required
Numeric (N0)
Min 9Max 9
ISA-14
I13
Acknowledgment Requested
Required
Identifier (ID)
Min 1Max 1
0
No Acknowledgment Requested
1
Interchange Acknowledgment Requested
ISA-15
I14
Usage Indicator
Required
Identifier (ID)
Min 1Max 1
I
Information
P
Production Data
T
Test Data
ISA-16
I15
Component Element Separator
Required
String (AN)
Min 1Max 1
>
Component Element Separator

Functional Group Header

RequiredMax use 1
Example
GS-01
479
Functional Identifier Code
Required
Identifier (ID)
IN
Invoice Information (810,819)
GS-02
142
Application Sender's Code
Required
String (AN)
Min 2Max 15
GS-03
124
Application Receiver's Code
Required
String (AN)
Min 2Max 15
Required
Date (DT)
CCYYMMDD format
Required
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format
GS-06
28
Group Control Number
Required
Numeric (N0)
Min 1Max 9
GS-07
455
Responsible Agency Code
Required
Identifier (ID)
Min 1Max 2
T
Transportation Data Coordinating Committee (TDCC)
X
Accredited Standards Committee X12
GS-08
480
Version / Release / Industry Identifier Code
Required
String (AN)
004010
Draft Standards Approved for Publication by ASC X12 Procedures Review Board through October 1997

Heading

ST
010
Heading > ST

Transaction Set Header

RequiredMax use 1
Example
ST-01
143
Transaction Set Identifier Code
Required
Identifier (ID)
810
Invoice
ST-02
329
Transaction Set Control Number
Required
Numeric (N)
Min 4Max 9
BIG
020
Heading > BIG

Beginning Segment for Invoice

RequiredMax use 1
Example
Required
Date (DT)
CCYYMMDD format
Usage notes
BIG-02
76
Invoice Number
Required
String (AN)
Min 1Max 15
Usage notes
Optional
Date (DT)
CCYYMMDD format
Usage notes
BIG-04
324
Purchase Order Number
Required
String (AN)
Min 1Max 22
BIG-05
328
Release Number
Optional
String (AN)
Min 1Max 30
BIG-08
353
Transaction Set Purpose Code
Optional
Identifier (ID)
00
Original
05
Replace
CUR
040
Heading > CUR

Currency

OptionalMax use 1
Example
CUR-01
98
Entity Identifier Code
Required
Identifier (ID)
Usage notes
BY
Buying Party (Purchaser)
CUR-02
100
Currency Code
Required
Identifier (ID)
Usage notes
USD
US Dollar
REF
050
Heading > REF

Reference Identification

OptionalMax use 12
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
DP
Department Number
P4
Project Code
RQ
Purchase Requisition Number
VR
Vendor ID Number
REF-02
127
Reference Identification
Optional
String (AN)
Min 1Max 30
Usage notes
N1 Loop
OptionalMax >1
N1
070
Heading > N1 Loop > N1

Name

RequiredMax use 1
Example
At least one of Name (N1-02) or Identification Code Qualifier (N1-03) is required
If either Identification Code Qualifier (N1-03) or Identification Code (N1-04) is present, then the other is required
N1-01
98
Entity Identifier Code
Required
Identifier (ID)
RI
Remit To
ST
Ship To
VN
Vendor
Z7
Mark-for Party
Optional
String (AN)
Min 1Max 32
Usage notes
N1-03
66
Identification Code Qualifier
Optional
Identifier (ID)
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
N1-04
67
Identification Code
Optional
String (AN)
Min 2Max 80
Usage notes
N1-06
98
Entity Identifier Code
Optional
Identifier (ID)
O4
Factor
N2
080
Heading > N1 Loop > N2

Additional Name Information

OptionalMax use 2
Example
Required
String (AN)
Min 1Max 60
Optional
String (AN)
Min 1Max 60
N3
090
Heading > N1 Loop > N3

Address Information

OptionalMax use 2
Example
N3-01
166
Address Information
Required
String (AN)
Min 1Max 55
N3-02
166
Address Information
Optional
String (AN)
Min 1Max 55
N4
100
Heading > N1 Loop > N4

Geographic Location

OptionalMax use 1
Example
N4-01
19
City Name
Optional
String (AN)
Min 2Max 30
N4-02
156
State or Province Code
Optional
Identifier (ID)
Min 2Max 2
N4-03
116
Postal Code
Optional
Identifier (ID)
Min 3Max 15
N4-04
26
Country Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
N1 Loop end
ITD
130
Heading > ITD

Terms of Sale/Deferred Terms of Sale

OptionalMax use >1
Usage notes
Example
ITD-01
336
Terms Type Code
Optional
Identifier (ID)
Usage notes
01
Basic
36
Contract Basis
ITD-02
333
Terms Basis Date Code
Optional
Identifier (ID)
1
Ship Date
2
Delivery Date
3
Invoice Date
4
Specified Date
7
Effective Date
8
Invoice Transmission Date
15
Receipt of Goods
ITD-03
338
Terms Discount Percent
Required
Decimal number (R)
Min 1Max 6
Usage notes
ITD-04
370
Terms Discount Due Date
Optional
Date (DT)
CCYYMMDD format
ITD-05
351
Terms Discount Days Due
Required
Numeric (N0)
Min 1Max 3
ITD-06
446
Terms Net Due Date
Optional
Date (DT)
CCYYMMDD format
ITD-07
386
Terms Net Days
Required
Numeric (N0)
Min 1Max 3
ITD-12
352
Description
Optional
String (AN)
Min 1Max 80
DTM
140
Heading > DTM

Date/Time Reference

OptionalMax use 10
Example
DTM-01
374
Date/Time Qualifier
Required
Identifier (ID)
011
Shipped
Optional
Date (DT)
CCYYMMDD format
Heading end

Detail

IT1 Loop
OptionalMax >1
IT1
010
Detail > IT1 Loop > IT1

Baseline Item Data (Invoice)

RequiredMax use 1
Example
If either Product/Service ID Qualifier (IT1-06) or Product/Service ID (IT1-07) is present, then the other is required
If either Product/Service ID Qualifier (IT1-08) or Product/Service ID (IT1-09) is present, then the other is required
IT1-01
350
Assigned Identification
Required
String (AN)
Min 1Max 20
Usage notes
IT1-02
358
Quantity Invoiced
Required
Decimal number (R)
Min 1Max 10
Usage notes
IT1-03
355
Unit or Basis for Measurement Code
Required
Identifier (ID)
Usage notes
BD
Bundle
BO
Bottle
BX
Box
CA
Case
CS
Cassette
DZ
Dozen
EA
Each
GS
Gross
KT
Kit
LO
Lot
PH
Pack (PAK)
PK
Package
PL
Pallet/Unit Load
PR
Pair
RL
Roll
RM
Ream
ST
Set
UN
Unit
IT1-04
212
Unit Price
Required
Decimal number (R)
Min 1Max 15
Usage notes
IT1-05
639
Basis of Unit Price Code
Optional
Identifier (ID)
NT
Net
IT1-06
235
Product/Service ID Qualifier
Required
Identifier (ID)
Usage notes
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
IT1-07
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
IT1-08
235
Product/Service ID Qualifier
Optional
Identifier (ID)
VN
Vendor's (Seller's) Item Number
IT1-09
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
IT1-10
235
Product/Service ID Qualifier
Optional
Identifier (ID)
PL
Purchaser's Order Line Number
IT1-11
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
IT1-12
235
Product/Service ID Qualifier
Optional
Identifier (ID)
UP
U.P.C. Consumer Package Code (1-5-5-1)
IT1-13
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
Usage notes
TXI
040
Detail > IT1 Loop > TXI

State and Local Sales Tax

OptionalMax use 10
Usage notes
Example
Variants (all may be used)
TXIValue Added Tax
TXI-01
963
Tax Type Code
Required
Identifier (ID)
LS
State and Local Sales Tax
TXI-02
782
Monetary Amount
Required
Decimal number (R)
Min 1Max 15
TXI-03
954
Percent
Optional
Decimal number (R)
Min 1Max 10
TXI
040
Detail > IT1 Loop > TXI

Value Added Tax

OptionalMax use 10
Usage notes
Example
Variants (all may be used)
TXIState and Local Sales Tax
TXI-01
963
Tax Type Code
Required
Identifier (ID)
VA
Value Added Tax
TXI-02
782
Monetary Amount
Required
Decimal number (R)
Min 1Max 15
TXI-03
954
Percent
Optional
Decimal number (R)
Min 1Max 10
PID Loop
OptionalMax >1
PID
060
Detail > IT1 Loop > PID Loop > PID

Product/Item Description

RequiredMax use 1
Example
PID-01
349
Item Description Type
Required
Identifier (ID)
F
Free-form
PID-03
559
Agency Qualifier Code
Required
Identifier (ID)
AS
Assigned by Seller
PID-04
751
Product Description Code
Required
String (AN)
Min 1Max 12
Usage notes
PID-05
352
Description
Optional
String (AN)
Min 1Max 80
PID Loop end
IT1 Loop end
Detail end

Summary

TDS
010
Summary > TDS

Total Monetary Value Summary

RequiredMax use 1
Example
TDS-01
610
Amount
Required
Numeric (N2)
Min 1Max 15
CAD
030
Summary > CAD

Carrier Detail

OptionalMax use 1
Example
If Reference Identification Qualifier (CAD-07) is present, then Reference Identification (CAD-08) is required
CAD-01
91
Transportation Method/Type Code
Optional
Identifier (ID)
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
CAD-02
206
Equipment Initial
Optional
String (AN)
Min 1Max 4
CAD-03
207
Equipment Number
Optional
String (AN)
Min 1Max 10
CAD-04
140
Standard Carrier Alpha Code
Optional
Identifier (ID)
Min 2Max 4
CAD-07
128
Reference Identification Qualifier
Optional
Identifier (ID)
BM
Bill of Lading Number
CN
Carrier's Reference Number (PRO/Invoice)
SI
Shipper's Identifying Number for Shipment (SID)
CAD-08
127
Reference Identification
Optional
String (AN)
Min 1Max 30
SAC Loop
OptionalMax >1
Usage notes
SAC
040
Summary > SAC Loop > SAC

Service, Promotion, Allowance, or Charge Information

RequiredMax use 1
Example
SAC-01
248
Allowance or Charge Indicator
Required
Identifier (ID)
C
Charge
SAC-02
1300
Service, Promotion, Allowance, or Charge Code
Optional
Identifier (ID)
C030
Delivery Surcharge
D230
Freight Surcharge
D240
Freight
D270
Fuel Surcharge
D500
Handling
F050
Other (See related description)
F340
Pick/Up
G970
Small Order Charge
SAC-05
610
Amount
Optional
Numeric (N2)
Min 1Max 15
SAC-15
352
Description
Optional
String (AN)
Min 1Max 80
TXI
050
Summary > SAC Loop > TXI

Tax Information

OptionalMax use 10
Usage notes
Example
TXI-01
963
Tax Type Code
Required
Identifier (ID)
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
TXI-02
782
Monetary Amount
Required
Decimal number (R)
Min 1Max 15
TXI-03
954
Percent
Optional
Decimal number (R)
Min 1Max 10
SAC Loop end
CTT
070
Summary > CTT

Transaction Totals

OptionalMax use 1
Example
CTT-01
354
Number of Line Items
Required
Numeric (N0)
Min 1Max 6
CTT-02
347
Hash Total
Optional
Decimal number (R)
Min 1Max 10
SE
080
Summary > SE

Transaction Set Trailer

RequiredMax use 1
Example
SE-01
96
Number of Included Segments
Required
Numeric (N0)
Min 1Max 10
SE-02
329
Transaction Set Control Number
Required
Numeric (N)
Min 4Max 9
Summary end

Functional Group Trailer

RequiredMax use 1
Example
GE-01
97
Number of Transaction Sets Included
Required
Numeric (N0)
Min 1Max 6
GE-02
28
Group Control Number
Required
Numeric (N0)
Min 1Max 9

Interchange Control Trailer

RequiredMax use 1
Example
IEA-01
I16
Number of Included Functional Groups
Required
Numeric (N0)
Min 1Max 5
IEA-02
I12
Interchange Control Number
Required
Numeric (N0)
Min 9Max 9
EDI Samples

Invoice Sample: 840104

ISA|00| |00| |ZZ|SENDER |ZZ|RECEIVER |231106|1357|U|00401|000000001|0|T|>
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

ISA|00| |00| |ZZ|SENDER |ZZ|RECEIVER |231106|1357|U|00401|000000001|0|T|>
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

ISA|00| |00| |ZZ|SENDER |ZZ|RECEIVER |231106|1357|U|00401|000000001|0|T|>
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

ISA|00| |00| |ZZ|SENDER |ZZ|RECEIVER |231106|1358|U|00401|000000001|0|T|>
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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