Eversana
/
Motor Carrier Load Tender
  • Specification
  • EDI Inspector
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X12 204 Motor Carrier Load Tender

X12 Release 4010
Delimiters
  • ~ Segment
  • * Element
  • > Component
EDI sample
  • 204-MGDOHMEN-AXCC-28004648856.AMEX.O.14785891.1.txt
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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
B2
020
Beginning Segment for Shipment Information Transaction
Max use 1
Required
B2A
030
Set Purpose
Max use 1
Required
L11
080
Business Instructions and Reference Number
Max use 50
Optional
AT5
110
Bill of Lading Handling Requirements
Max use 6
Optional
0100 Loop
detail
Loading Stop
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)
SM
Motor Carrier Load Tender (204)
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)
204
Motor Carrier Load Tender
ST-02
329
Transaction Set Control Number
Required
Numeric (N0)
Min 4Max 9
B2
020
Heading > B2

Beginning Segment for Shipment Information Transaction

RequiredMax use 1
Example
B2-02
140
Standard Carrier Alpha Code
Optional
Identifier (ID)
Min 2Max 4
B2-04
145
Shipment Identification Number
Optional
String (AN)
Min 1Max 30
B2-06
146
Shipment Method of Payment
Required
Identifier (ID)
PP
Prepaid (by Seller)
B2A
030
Heading > B2A

Set Purpose

RequiredMax use 1
Example
B2A-01
353
Transaction Set Purpose Code
Required
Identifier (ID)
00
Original
B2A-02
346
Application Type
Optional
Identifier (ID)
LT
Load Tender - Truckload (TL) Carrier Only
L11
080
Heading > L11

Business Instructions and Reference Number

OptionalMax use 50
Example
L11-01
127
Reference Identification
Optional
String (AN)
Min 1Max 30
L11-02
128
Reference Identification Qualifier
Optional
Identifier (ID)
11
Account Number
CN
Carrier's Reference Number (PRO/Invoice)
CR
Customer Reference Number
OQ
Order Number
PO
Purchase Order Number
SI
Shipper's Identifying Number for Shipment (SID)
L11-03
352
Description
Optional
String (AN)
Min 1Max 80
AT5
110
Heading > AT5

Bill of Lading Handling Requirements

OptionalMax use 6
Example
AT5-01
152
Special Handling Code
Optional
Identifier (ID)
HM
Endorsed as Hazardous Material
0100 Loop
OptionalMax 5
N1
140
Heading > 0100 Loop > N1

Name

RequiredMax use 1
Example
N1-01
98
Entity Identifier Code
Required
Identifier (ID)
BT
Bill-to-Party
Optional
String (AN)
Min 1Max 60
N3
160
Heading > 0100 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
170
Heading > 0100 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)
US
United States of America (the)
0100 Loop end
Heading end

Detail

0300 Loading Stop
RequiredMax 999
Variants (all may be used)
Unloading Stop
S5
010
Detail > Loading Stop > S5

Stop Off Details

RequiredMax use 1
Example
S5-01
165
Stop Sequence Number
Required
Numeric (N0)
Min 1Max 3
S5-02
163
Stop Reason Code
Required
Identifier (ID)
CL
Complete
PL
Part Load
L11
020
Detail > Loading Stop > L11

Business Instructions and Reference Number

OptionalMax use 50
Example
L11-01
127
Reference Identification
Optional
String (AN)
Min 1Max 30
L11-02
128
Reference Identification Qualifier
Optional
Identifier (ID)
11
Account Number
CN
Carrier's Reference Number (PRO/Invoice)
OQ
Order Number
PO
Purchase Order Number
L11-03
352
Description
Optional
String (AN)
Min 1Max 80
G62
030
Detail > Loading Stop > G62

Ship Not Before

OptionalMax use 2
Example
G62-01
432
Date Qualifier
Required
Identifier (ID)
37
Ship Not Before Date
Optional
Date (DT)
CCYYMMDD format
G62-03
176
Time Qualifier
Optional
Identifier (ID)
I
Earliest Requested Pick Up Time
K
Latest Requested Pick Up Time
Optional
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format
G62
030
Detail > Loading Stop > G62

Ship Not Later

OptionalMax use 2
Example
Variants (all may be used)
G62Ship Not Before
G62-01
432
Date Qualifier
Required
Identifier (ID)
38
Ship Not Later Than Date
Optional
Date (DT)
CCYYMMDD format
G62-03
176
Time Qualifier
Optional
Identifier (ID)
I
Earliest Requested Pick Up Time
K
Latest Requested Pick Up Time
Optional
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format
AT8
040
Detail > Loading Stop > AT8

Shipment Weight, Packaging and Quantity Data

OptionalMax use 1
Example
AT8-01
187
Weight Qualifier
Optional
Identifier (ID)
G
Gross Weight
AT8-02
188
Weight Unit Code
Optional
Identifier (ID)
L
Pounds
AT8-03
81
Weight
Optional
Decimal number (R)
Min 1Max 10
AT8-05
80
Lading Quantity
Optional
Numeric (N0)
Min 1Max 7
0310 Loop
OptionalMax 1
N1
070
Detail > Loading Stop > 0310 Loop > N1

Name

RequiredMax use 1
Example
N1-01
98
Entity Identifier Code
Required
Identifier (ID)
SH
Shipper
Optional
String (AN)
Min 1Max 60
N1-03
66
Identification Code Qualifier
Optional
Identifier (ID)
93
Code assigned by the organization originating the transaction set
N1-04
67
Identification Code
Optional
String (AN)
Min 2Max 80
N3
090
Detail > Loading Stop > 0310 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
Detail > Loading Stop > 0310 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)
US
United States of America (the)
0310 Loop end
0320 Loop
OptionalMax 99
L5
130
Detail > Loading Stop > 0320 Loop > L5

Description, Marks and Numbers

RequiredMax use 1
Example
L5-02
79
Lading Description
Optional
String (AN)
Min 1Max 50
L5-05
103
Packaging Code
Optional
String (AN)
Part 1/1
PLT
Pallet
L5-06
87
Marks and Numbers
Optional
String (AN)
Min 1Max 48
L5-07
88
Marks and Numbers Qualifier
Optional
Identifier (ID)
SI
Self-Identifying Container via Radio Frequency ID Device
AT8
135
Detail > Loading Stop > 0320 Loop > AT8

Shipment Weight, Packaging and Quantity Data

OptionalMax use 1
Example
AT8-01
187
Weight Qualifier
Optional
Identifier (ID)
G
Gross Weight
AT8-02
188
Weight Unit Code
Optional
Identifier (ID)
L
Pounds
AT8-03
81
Weight
Optional
Decimal number (R)
Min 1Max 10
AT8-05
80
Lading Quantity
Optional
Numeric (N0)
Min 1Max 7
0320 Loop end
0300 Loading Stop end
0300 Unloading Stop
RequiredMax 999
Variants (all may be used)
Loading Stop
S5
010
Detail > Unloading Stop > S5

Stop Off Details

RequiredMax use 1
Example
S5-01
165
Stop Sequence Number
Required
Numeric (N0)
Min 1Max 3
S5-02
163
Stop Reason Code
Required
Identifier (ID)
CU
Complete Unload
PU
Part Unload
L11
020
Detail > Unloading Stop > L11

Business Instructions and Reference Number

OptionalMax use 50
Example
L11-01
127
Reference Identification
Optional
String (AN)
Min 1Max 30
L11-02
128
Reference Identification Qualifier
Optional
Identifier (ID)
11
Account Number
CN
Carrier's Reference Number (PRO/Invoice)
OQ
Order Number
PO
Purchase Order Number
L11-03
352
Description
Optional
String (AN)
Min 1Max 80
G62
030
Detail > Unloading Stop > G62

Deliver Not Before

OptionalMax use 2
Example
Variants (all may be used)
G62Deliver Not Later
G62-01
432
Date Qualifier
Required
Identifier (ID)
53
Deliver Not Before Date
Optional
Date (DT)
CCYYMMDD format
G62-03
176
Time Qualifier
Optional
Identifier (ID)
G
Earliest Requested Deliver Time
L
Latest Requested Delivery Time
Optional
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format
G62
030
Detail > Unloading Stop > G62

Deliver Not Later

OptionalMax use 2
Example
Variants (all may be used)
G62Deliver Not Before
G62-01
432
Date Qualifier
Required
Identifier (ID)
54
Deliver No Later Than Date
Optional
Date (DT)
CCYYMMDD format
G62-03
176
Time Qualifier
Optional
Identifier (ID)
G
Earliest Requested Deliver Time
L
Latest Requested Delivery Time
Optional
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format
AT8
040
Detail > Unloading Stop > AT8

Shipment Weight, Packaging and Quantity Data

OptionalMax use 1
Example
AT8-01
187
Weight Qualifier
Optional
Identifier (ID)
G
Gross Weight
AT8-02
188
Weight Unit Code
Optional
Identifier (ID)
L
Pounds
AT8-03
81
Weight
Optional
Decimal number (R)
Min 1Max 10
AT8-05
80
Lading Quantity
Optional
Numeric (N0)
Min 1Max 7
0310 Loop
OptionalMax 1
N1
070
Detail > Unloading Stop > 0310 Loop > N1

Name

RequiredMax use 1
Example
N1-01
98
Entity Identifier Code
Required
Identifier (ID)
CN
Consignee
Optional
String (AN)
Min 1Max 60
N1-03
66
Identification Code Qualifier
Optional
Identifier (ID)
93
Code assigned by the organization originating the transaction set
N1-04
67
Identification Code
Optional
String (AN)
Min 2Max 80
N3
090
Detail > Unloading Stop > 0310 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
Detail > Unloading Stop > 0310 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)
US
United States of America (the)
0310 Loop end
0320 Loop
OptionalMax 99
L5
130
Detail > Unloading Stop > 0320 Loop > L5

Description, Marks and Numbers

RequiredMax use 1
Example
L5-02
79
Lading Description
Optional
String (AN)
Min 1Max 50
L5-05
103
Packaging Code
Optional
String (AN)
Part 1/1
PLT
Pallet
L5-06
87
Marks and Numbers
Optional
String (AN)
Min 1Max 48
L5-07
88
Marks and Numbers Qualifier
Optional
Identifier (ID)
SI
Self-Identifying Container via Radio Frequency ID Device
AT8
135
Detail > Unloading Stop > 0320 Loop > AT8

Shipment Weight, Packaging and Quantity Data

OptionalMax use 1
Example
AT8-01
187
Weight Qualifier
Optional
Identifier (ID)
G
Gross Weight
AT8-02
188
Weight Unit Code
Optional
Identifier (ID)
L
Pounds
AT8-03
81
Weight
Optional
Decimal number (R)
Min 1Max 10
AT8-05
80
Lading Quantity
Optional
Numeric (N0)
Min 1Max 7
0320 Loop end
0300 Unloading Stop end
Detail end

Summary

L3
010
Summary > L3

Total Weight and Charges

OptionalMax use 1
Example
L3-01
81
Weight
Optional
Decimal number (R)
Min 1Max 10
L3-02
187
Weight Qualifier
Optional
Identifier (ID)
G
Gross Weight
L3-03
60
Freight Rate
Optional
Decimal number (R)
Min 1Max 9
L3-04
122
Rate/Value Qualifier
Optional
Identifier (ID)
FR
Flat Rate
L3-05
58
Charge
Optional
Numeric (N2)
Min 1Max 14
L3-11
80
Lading Quantity
Optional
Numeric (N0)
Min 1Max 7
SE
020
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 (N0)
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

204-MGDOHMEN-AXCC-28004648856.AMEX.O.14785891.1.txt

ISA*00* *00* *ZZ*MGDOHMEN *02*AXCC *230804*1713*U*00401*000012773*0*P*:~
GS*SM*MGDOHMEN*AXCC*20230804*171356*3861*X*004010~
ST*204*038610001~
B2**AXCC**LD1286339**PP~
B2A*00*LT~
L11*SID6815634*SI*Shipment ID~
L11*V315867283*OQ*Order Number~
L11*152346*PO*Cust PO Number~
L11*V3*11*Customer Acct Number~
L11*SID6816905*SI*Shipment ID~
L11*SG15868665*OQ*Order Number~
L11*8149898114*PO*Cust PO Number~
L11*SG*11*Customer Acct Number~
L11*SID6815048*SI*Shipment ID~
L11*SG15866712*OQ*Order Number~
L11*2100214353*PO*Cust PO Number~
L11*SID6814139*SI*Shipment ID~
L11*NZ15865777*OQ*Order Number~
L11*152290*PO*Cust PO Number~
L11*NZ*11*Customer Acct Number~
L11*SID6813570*SI*Shipment ID~
L11*VG15865211*OQ*Order Number~
L11*152249*PO*Cust PO Number~
L11*VG*11*Customer Acct Number~
L11*SID6813568*SI*Shipment ID~
L11*VG15865209*OQ*Order Number~
L11*2170816*PO*Cust PO Number~
L11*SID6813984*SI*Shipment ID~
L11*A315865621*OQ*Order Number~
L11*152262*PO*Cust PO Number~
L11*A3*11*Customer Acct Number~
L11*SID6814720*SI*Shipment ID~
L11*MB15866371*OQ*Order Number~
L11*152286*PO*Cust PO Number~
L11*MB*11*Customer Acct Number~
L11*SID6813141*SI*Shipment ID~
L11*SO15864772*OQ*Order Number~
L11*C5557873PAR*PO*Cust PO Number~
L11*SO*11*Customer Acct Number~
L11*SID6815487*SI*Shipment ID~
L11*SO15867126*OQ*Order Number~
L11*0271020922*PO*Cust PO Number~
L11*American Expediting Logistics *CR*Carrier Name~
L11*TL*CR*Carrier Mode~
L11*LD1286339*CN*PRO~
AT5*HM~
N1*BT*EVERSANA Life Science Services, LLC~
N3*Source Alliance Network*2023 W Carroll Ave. Suite C205~
N4*Chicago*IL*60612*US~
S5*1*PL~
L11*V315867283*OQ*Order Number~
L11*152346*PO*Cust PO Number~
L11*V3*11*Customer Acct Number~
L11*LD1286339*CN*PRO~
L11*SG15868665*OQ*Order Number~
L11*8149898114*PO*Cust PO Number~
L11*SG*11*Customer Acct Number~
L11*SG15866712*OQ*Order Number~
L11*2100214353*PO*Cust PO Number~
L11*NZ15865777*OQ*Order Number~
L11*152290*PO*Cust PO Number~
L11*NZ*11*Customer Acct Number~
L11*VG15865211*OQ*Order Number~
L11*152249*PO*Cust PO Number~
L11*VG*11*Customer Acct Number~
L11*VG15865209*OQ*Order Number~
L11*2170816*PO*Cust PO Number~
L11*A315865621*OQ*Order Number~
L11*152262*PO*Cust PO Number~
L11*A3*11*Customer Acct Number~
G62*37*20230807*I*0601~
G62*38*20230807*K*0615~
AT8*G*L*4162.26**8~
N1*SH*Viona Pharmaceuticals Inc c/o Eversana Life Science Services~
N3*4580 Mendenhall Road~
N4*MEMPHIS*TN*38141*US~
L5**SID6815634***PLT*SID6815634*SI~
AT8*G*L*396.05**1~
L5**SID6816905***PLT*SID6816905*SI~
AT8*G*L*265.78**1~
L5**SID6815048***PLT*SID6815048*SI~
AT8*G*L*363.75**1~
L5**SID6814139***PLT*SID6814139*SI~
AT8*G*L*561.92**1~
L5**SID6813570***PLT*SID6813570*SI~
AT8*G*L*1054.38**2~
L5**SID6813568***PLT*SID6813568*SI~
AT8*G*L*748.8**1~
L5**SID6813984***PLT*SID6813984*SI~
AT8*G*L*771.58**1~
S5*2*CL~
L11*MB15866371*OQ*Order Number~
L11*152286*PO*Cust PO Number~
L11*MB*11*Customer Acct Number~
L11*LD1286339*CN*PRO~
L11*SO15864772*OQ*Order Number~
L11*C5557873PAR*PO*Cust PO Number~
L11*SO*11*Customer Acct Number~
L11*SO15867126*OQ*Order Number~
L11*0271020922*PO*Cust PO Number~
G62*37*20230807*I*0620~
G62*38*20230807*K*0630~
AT8*G*L*2520.68**5~
N1*SH*Macleods Pharma USA Inc. c/o Eversana Life Science Services~
N3*5650 Challenge Drive~
N4*MEMPHIS*TN*381155016*US~
L5**SID6814720***PLT*SID6814720*SI~
AT8*G*L*259.41**1~
L5**SID6813141***PLT*SID6813141*SI~
AT8*G*L*363.43**1~
L5**SID6815487***PLT*SID6815487*SI~
AT8*G*L*1897.84**3~
S5*3*PU~
L11*SG15866712*OQ*Order Number~
L11*2100214353*PO*Cust PO Number~
L11*SG*11*Customer Acct Number~
L11*LD1286339*CN*PRO~
G62*53*20230807*G*0650~
G62*54*20230807*L*0700~
AT8*G*L*363.75**1~
N1*CN*MCKESSON SPECIALTY DISTRIBUTION LLC*93*1521434~
N3*4100 QUEST WAY~
N4*MEMPHIS*TN*38115*US~
L5**SID6815048***PLT*SID6815048*SI~
AT8*G*L*363.75**1~
S5*4*PU~
L11*SO15864772*OQ*Order Number~
L11*C5557873PAR*PO*Cust PO Number~
L11*SO*11*Customer Acct Number~
L11*LD1286339*CN*PRO~
G62*53*20230807*G*0705~
G62*54*20230807*L*0710~
AT8*G*L*363.43**1~
N1*CN*CARDINAL HEALTH 110, LLC*93*2872324~
N3*5960 E. SHELBY DRIVE STE 100*DBA PARMED PHARMACEUTICALS~
N4*MEMPHIS*TN*38141*US~
L5**SID6813141***PLT*SID6813141*SI~
AT8*G*L*363.43**1~
S5*5*PU~
L11*SG15868665*OQ*Order Number~
L11*8149898114*PO*Cust PO Number~
L11*SG*11*Customer Acct Number~
L11*LD1286339*CN*PRO~
G62*53*20230807*G*0715~
G62*54*20230807*L*0720~
AT8*G*L*265.78**1~
N1*CN*MCKESSON DRUG COMPANY*93*1391507~
N3*4836 SOUTHRIDGE BLVD~
N4*MEMPHIS*TN*38141*US~
L5**SID6816905***PLT*SID6816905*SI~
AT8*G*L*265.78**1~
S5*6*PU~
L11*SO15867126*OQ*Order Number~
L11*0271020922*PO*Cust PO Number~
L11*SO*11*Customer Acct Number~
L11*LD1286339*CN*PRO~
G62*53*20230807*G*0750~
G62*54*20230807*L*0810~
AT8*G*L*1897.84**3~
N1*CN*AMERISOURCEBERGEN DRUG CORPORATION*93*2913298~
N3*12577 STATELINE ROAD~
N4*OLIVE BRANCH*MS*38654*US~
L5**SID6815487***PLT*SID6815487*SI~
AT8*G*L*1897.84**3~
S5*7*PU~
L11*VG15865209*OQ*Order Number~
L11*2170816*PO*Cust PO Number~
L11*VG*11*Customer Acct Number~
L11*LD1286339*CN*PRO~
G62*53*20230807*G*0815~
G62*54*20230807*L*0820~
AT8*G*L*748.8**1~
N1*CN*ANDA PHARMACEUTICALS, INC*93*1436539~
N3*8644 POLK LANE~
N4*OLIVE BRANCH*MS*38654*US~
L5**SID6813568***PLT*SID6813568*SI~
AT8*G*L*748.8**1~
S5*8*CU~
L11*MB15866371*OQ*Order Number~
L11*152286*PO*Cust PO Number~
L11*MB*11*Customer Acct Number~
L11*LD1286339*CN*PRO~
L11*A315865621*OQ*Order Number~
L11*152262*PO*Cust PO Number~
L11*A3*11*Customer Acct Number~
L11*V315867283*OQ*Order Number~
L11*152346*PO*Cust PO Number~
L11*V3*11*Customer Acct Number~
L11*NZ15865777*OQ*Order Number~
L11*152290*PO*Cust PO Number~
L11*NZ*11*Customer Acct Number~
L11*VG15865211*OQ*Order Number~
L11*152249*PO*Cust PO Number~
L11*VG*11*Customer Acct Number~
G62*53*20230807*G*0901~
G62*54*20230807*L*0915~
AT8*G*L*3043.35**6~
N1*CN*ASSOCIATED PHARMACIES, INC.*93*1461153~
N3*5375 MINERAL WELLS RD~
N4*MEMPHIS*TN*38141*US~
L5**SID6814720***PLT*SID6814720*SI~
AT8*G*L*259.41**1~
L5**SID6813984***PLT*SID6813984*SI~
AT8*G*L*771.58**1~
L5**SID6815634***PLT*SID6815634*SI~
AT8*G*L*396.05**1~
L5**SID6814139***PLT*SID6814139*SI~
AT8*G*L*561.92**1~
L5**SID6813570***PLT*SID6813570*SI~
AT8*G*L*1054.38**2~
L3*6682.94*G*330*FR*33000******13~
SE*210*038610001~
GE*1*3861~
IEA*1*000012773~

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