Non-Merchandise Invoice

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: 840104

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: 840132

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: 842201

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


X12 810 Non-Merchandise Invoice