H-E-B
/
Utility Laundry Invoice
  • Specification
  • EDI Inspector
Stedi maintains this guide based on public documentation from H-E-B. Contact H-E-B for official EDI specifications. To report any errors in this guide, please contact us.
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X12 810 Utility Laundry Invoice

X12 Release 4010
Delimiters
  • ~ Segment
  • * Element
  • > Component
EDI sample
  • Sample
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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
REF
050
Reference Identification
Max use 12
Required
N1 Loop
ITD
130
Terms of Sale/Deferred Terms of Sale
Max use 1
Required
DTM
140
Invoice Period End
Max use 10
Required
DTM
140
Invoice Period Start
Max use 10
Required
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
BIG-02
76
Invoice Number
Required
String (AN)
Min 1Max 22
Optional
Date (DT)
CCYYMMDD format
BIG-04
324
Purchase Order Number
Required
String (AN)
Min 1Max 22
Usage notes
BIG-05
328
Release Number
Optional
String (AN)
Min 1Max 30
BIG-06
327
Change Order Sequence Number
Optional
String (AN)
Min 1Max 8
BIG-07
640
Transaction Type Code
Optional
Identifier (ID)
Min 2Max 2
BIG-08
353
Transaction Set Purpose Code
Optional
Identifier (ID)
Min 2Max 2
BIG-09
306
Action Code
Optional
Identifier (ID)
Min 1Max 2
BIG-10
76
Invoice Number
Optional
String (AN)
Min 1Max 22
REF
050
Heading > REF

Reference Identification

RequiredMax use 12
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
11
Account Number
REF-02
127
Reference Identification
Required
String (AN)
Min 1Max 30
REF-03
352
Description
Optional
String (AN)
Min 1Max 80
REF-04
C040
Reference Identifier
OptionalMax use 1
To identify one or more reference numbers or identification numbers as specified by the Reference Qualifier
If either Reference Identification Qualifier (C040-03) or Reference Identification (C040-04) is present, then the other is required
If either Reference Identification Qualifier (C040-05) or Reference Identification (C040-06) is present, then the other is required
C040-01
128
Reference Identification Qualifier
Required
Identifier (ID)
Min 2Max 3
C040-02
127
Reference Identification
Required
String (AN)
Min 1Max 30
C040-03
128
Reference Identification Qualifier
Optional
Identifier (ID)
Min 2Max 3
C040-04
127
Reference Identification
Optional
String (AN)
Min 1Max 30
C040-05
128
Reference Identification Qualifier
Optional
Identifier (ID)
Min 2Max 3
C040-06
127
Reference Identification
Optional
String (AN)
Min 1Max 30
N1 Loop
RequiredMax >1
N1
070
Heading > N1 Loop > N1

Name

RequiredMax use 1
Example
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)
Usage notes
SJ
Service Provider
Required
String (AN)
Min 1Max 60
Usage notes
N1-03
66
Identification Code Qualifier
Optional
Identifier (ID)
Min 1Max 2
N1-04
67
Identification Code
Optional
String (AN)
Min 2Max 80
N1-05
706
Entity Relationship Code
Optional
Identifier (ID)
Min 2Max 2
N1-06
98
Entity Identifier Code
Optional
Identifier (ID)
Min 2Max 3
N1 Loop end
ITD
130
Heading > ITD

Terms of Sale/Deferred Terms of Sale

RequiredMax use >1
Example
If Terms Deferred Due Date (ITD-09) is present, then at least one of Deferred Amount Due (ITD-10) or Percent of Invoice Payable (ITD-11) is required
If Terms Discount Percent (ITD-03) is present, then at least one of Terms Discount Due Date (ITD-04), Terms Discount Days Due (ITD-05) or Day of Month (ITD-13) is required
If Terms Discount Amount (ITD-08) is present, then at least one of Terms Discount Due Date (ITD-04), Terms Discount Days Due (ITD-05) or Day of Month (ITD-13) is required
ITD-01
336
Terms Type Code
Optional
Identifier (ID)
Min 2Max 2
ITD-02
333
Terms Basis Date Code
Optional
Identifier (ID)
Min 1Max 2
ITD-03
338
Terms Discount Percent
Optional
Decimal number (R)
Min 1Max 6
ITD-04
370
Terms Discount Due Date
Optional
Date (DT)
CCYYMMDD format
ITD-05
351
Terms Discount Days Due
Optional
Numeric (N0)
Min 1Max 3
ITD-06
446
Terms Net Due Date
Required
Date (DT)
CCYYMMDD format
ITD-07
386
Terms Net Days
Optional
Numeric (N0)
Min 1Max 3
ITD-08
362
Terms Discount Amount
Optional
Numeric (N2)
Min 1Max 10
ITD-09
388
Terms Deferred Due Date
Optional
Date (DT)
CCYYMMDD format
ITD-10
389
Deferred Amount Due
Optional
Numeric (N2)
Min 1Max 10
ITD-11
342
Percent of Invoice Payable
Optional
Decimal number (R)
Min 1Max 5
ITD-12
352
Description
Optional
String (AN)
Min 1Max 80
ITD-13
765
Day of Month
Optional
Numeric (N0)
Min 1Max 2
ITD-14
107
Payment Method Code
Optional
Identifier (ID)
Min 1Max 2
ITD-15
954
Percent
Optional
Decimal number (R)
Min 1Max 10
DTM
140
Heading > DTM

Invoice Period End

RequiredMax use 10
Example
Variants (all may be used)
DTMInvoice Period Start
If Time Code (DTM-04) is present, then Time (DTM-03) is required
At least one of Date (DTM-02), Time (DTM-03) or Date Time Period Format Qualifier (DTM-05) is required
If either Date Time Period Format Qualifier (DTM-05) or Date Time Period (DTM-06) is present, then the other is required
DTM-01
374
Date/Time Qualifier
Required
Identifier (ID)
187
Invoice Period End
Optional
Date (DT)
CCYYMMDD format
Optional
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format
DTM-04
623
Time Code
Optional
Identifier (ID)
Min 2Max 2
DTM-05
1250
Date Time Period Format Qualifier
Optional
Identifier (ID)
Min 2Max 3
DTM-06
1251
Date Time Period
Optional
String (AN)
Min 1Max 35
DTM
140
Heading > DTM

Invoice Period Start

RequiredMax use 10
Example
Variants (all may be used)
DTMInvoice Period End
If Time Code (DTM-04) is present, then Time (DTM-03) is required
At least one of Date (DTM-02), Time (DTM-03) or Date Time Period Format Qualifier (DTM-05) is required
If either Date Time Period Format Qualifier (DTM-05) or Date Time Period (DTM-06) is present, then the other is required
DTM-01
374
Date/Time Qualifier
Required
Identifier (ID)
186
Invoice Period Start
Optional
Date (DT)
CCYYMMDD format
Optional
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format
DTM-04
623
Time Code
Optional
Identifier (ID)
Min 2Max 2
DTM-05
1250
Date Time Period Format Qualifier
Optional
Identifier (ID)
Min 2Max 3
DTM-06
1251
Date Time Period
Optional
String (AN)
Min 1Max 35
Heading end

Detail

IT1 Loop
RequiredMax >1
IT1
010
Detail > IT1 Loop > IT1

Baseline Item Data (Invoice)

RequiredMax use 1
Example
If either Unit or Basis for Measurement Code (IT1-03) or Unit Price (IT1-04) 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
If either Product/Service ID Qualifier (IT1-10) or Product/Service ID (IT1-11) is present, then the other is required
If either Product/Service ID Qualifier (IT1-14) or Product/Service ID (IT1-15) is present, then the other is required
If either Product/Service ID Qualifier (IT1-16) or Product/Service ID (IT1-17) is present, then the other is required
If either Product/Service ID Qualifier (IT1-18) or Product/Service ID (IT1-19) is present, then the other is required
If either Product/Service ID Qualifier (IT1-20) or Product/Service ID (IT1-21) is present, then the other is required
If either Product/Service ID Qualifier (IT1-22) or Product/Service ID (IT1-23) is present, then the other is required
If either Product/Service ID Qualifier (IT1-24) or Product/Service ID (IT1-25) is present, then the other is required
IT1-01
350
Assigned Identification
Optional
String (AN)
Min 1Max 20
IT1-02
358
Quantity Invoiced
Optional
Decimal number (R)
Min 1Max 10
IT1-03
355
Unit or Basis for Measurement Code
Optional
Identifier (ID)
EA
Each
IT1-04
212
Unit Price
Optional
Decimal number (R)
Min 1Max 15
IT1-05
639
Basis of Unit Price Code
Optional
Identifier (ID)
Min 2Max 2
IT1-06
235
Product/Service ID Qualifier
Required
Identifier (ID)
VN
Vendor's (Seller's) Item Number
IT1-07
234
Product/Service ID
Required
String (AN)
Min 1Max 48
IT1-08
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2
IT1-09
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
IT1-10
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2
IT1-11
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
IT1-12
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2
IT1-13
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
IT1-14
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2
IT1-15
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
IT1-16
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2
IT1-17
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
IT1-18
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2
IT1-19
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
IT1-20
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2
IT1-21
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
IT1-22
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2
IT1-23
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
IT1-24
235
Product/Service ID Qualifier
Optional
Identifier (ID)
Min 2Max 2
IT1-25
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
QTY
015
Detail > IT1 Loop > QTY

Quantity

OptionalMax use 5
Example
At least one of Quantity (QTY-02) or Free-Form Message (QTY-04) is required
Only one of Quantity (QTY-02) or Free-Form Message (QTY-04) may be present
QTY-01
673
Quantity Qualifier
Required
Identifier (ID)
17
Quantity on Hand
QTY-02
380
Quantity
Optional
Decimal number (R)
Min 1Max 15
Usage notes
QTY-03
C001
Composite Unit of Measure
OptionalMax use 1
To identify a composite unit of measure (See Figures Appendix for examples of use)
C001-01
355
Unit or Basis for Measurement Code
Required
Identifier (ID)
Min 2Max 2
C001-02
1018
Exponent
Optional
Decimal number (R)
Min 1Max 15
C001-03
649
Multiplier
Optional
Decimal number (R)
Min 1Max 10
C001-04
355
Unit or Basis for Measurement Code
Optional
Identifier (ID)
Min 2Max 2
C001-05
1018
Exponent
Optional
Decimal number (R)
Min 1Max 15
C001-06
649
Multiplier
Optional
Decimal number (R)
Min 1Max 10
C001-07
355
Unit or Basis for Measurement Code
Optional
Identifier (ID)
Min 2Max 2
C001-08
1018
Exponent
Optional
Decimal number (R)
Min 1Max 15
C001-09
649
Multiplier
Optional
Decimal number (R)
Min 1Max 10
C001-10
355
Unit or Basis for Measurement Code
Optional
Identifier (ID)
Min 2Max 2
C001-11
1018
Exponent
Optional
Decimal number (R)
Min 1Max 15
C001-12
649
Multiplier
Optional
Decimal number (R)
Min 1Max 10
C001-13
355
Unit or Basis for Measurement Code
Optional
Identifier (ID)
Min 2Max 2
C001-14
1018
Exponent
Optional
Decimal number (R)
Min 1Max 15
C001-15
649
Multiplier
Optional
Decimal number (R)
Min 1Max 10
QTY-04
61
Free-Form Message
Optional
String (AN)
Min 1Max 30
TXI
040
Detail > IT1 Loop > TXI

Tax Information

OptionalMax use 10
Example
If either Tax Jurisdiction Code Qualifier (TXI-04) or Tax Jurisdiction Code (TXI-05) is present, then the other is required
At least one of Monetary Amount (TXI-02), Percent (TXI-03) or Tax Exempt Code (TXI-06) is required
If Dollar Basis For Percent (TXI-08) is present, then Percent (TXI-03) is required
TXI-01
963
Tax Type Code
Required
Identifier (ID)
CS
City Sales Tax
CT
County Tax
GR
Gross Receipts Tax
SE
State Excise Tax
ST
State Sales Tax
TXI-02
782
Monetary Amount
Optional
Decimal number (R)
Min 1Max 15
Usage notes
TXI-03
954
Percent
Optional
Decimal number (R)
Min 1Max 10
TXI-04
955
Tax Jurisdiction Code Qualifier
Optional
Identifier (ID)
Min 2Max 2
TXI-05
956
Tax Jurisdiction Code
Optional
String (AN)
Min 1Max 10
TXI-06
441
Tax Exempt Code
Optional
Identifier (ID)
Min 1Max 1
TXI-07
662
Relationship Code
Optional
Identifier (ID)
Min 1Max 1
TXI-08
828
Dollar Basis For Percent
Optional
Decimal number (R)
Min 1Max 9
TXI-09
325
Tax Identification Number
Optional
String (AN)
Min 1Max 20
TXI-10
350
Assigned Identification
Optional
String (AN)
Min 1Max 20
CTP
050
Detail > IT1 Loop > CTP

Pricing Information

OptionalMax use 25
Example
CTP-02
236
Price Identifier Code
Optional
Identifier (ID)
INV
Invoice Billing Price
CTP-08
782
Monetary Amount
Optional
Decimal number (R)
Min 1Max 15
PID Loop
RequiredMax >1
PID
060
Detail > IT1 Loop > PID Loop > PID

Product/Item Description

RequiredMax use 1
Example
If Product Description Code (PID-04) is present, then Agency Qualifier Code (PID-03) is required
If Source Subqualifier (PID-07) is present, then Agency Qualifier Code (PID-03) is required
If Yes/No Condition or Response Code (PID-08) is present, then Product Description Code (PID-04) is required
PID-01
349
Item Description Type
Required
Identifier (ID)
F
Free-form
PID-02
750
Product/Process Characteristic Code
Optional
Identifier (ID)
Min 2Max 3
PID-03
559
Agency Qualifier Code
Optional
Identifier (ID)
Min 2Max 2
PID-04
751
Product Description Code
Optional
String (AN)
Min 1Max 12
PID-05
352
Description
Required
String (AN)
Min 1Max 80
PID-06
752
Surface/Layer/Position Code
Optional
Identifier (ID)
Min 2Max 2
PID-07
822
Source Subqualifier
Optional
String (AN)
Min 1Max 15
PID-08
1073
Yes/No Condition or Response Code
Optional
Identifier (ID)
Min 1Max 1
PID-09
819
Language Code
Optional
Identifier (ID)
Min 2Max 3
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
TDS-02
610
Amount
Optional
Numeric (N2)
Min 1Max 15
TDS-03
610
Amount
Optional
Numeric (N2)
Min 1Max 15
TDS-04
610
Amount
Optional
Numeric (N2)
Min 1Max 15
TXI
020
Summary > TXI

Tax Information

OptionalMax use 10
Example
If either Tax Jurisdiction Code Qualifier (TXI-04) or Tax Jurisdiction Code (TXI-05) is present, then the other is required
At least one of Monetary Amount (TXI-02), Percent (TXI-03) or Tax Exempt Code (TXI-06) is required
If Dollar Basis For Percent (TXI-08) is present, then Percent (TXI-03) is required
TXI-01
963
Tax Type Code
Required
Identifier (ID)
CS
City Sales Tax
CT
County Tax
GR
Gross Receipts Tax
SE
State Excise Tax
ST
State Sales Tax
TXI-02
782
Monetary Amount
Optional
Decimal number (R)
Min 1Max 15
Usage notes
TXI-03
954
Percent
Optional
Decimal number (R)
Min 1Max 10
TXI-04
955
Tax Jurisdiction Code Qualifier
Optional
Identifier (ID)
Min 2Max 2
TXI-05
956
Tax Jurisdiction Code
Optional
String (AN)
Min 1Max 10
TXI-06
441
Tax Exempt Code
Optional
Identifier (ID)
Min 1Max 1
TXI-07
662
Relationship Code
Optional
Identifier (ID)
Min 1Max 1
TXI-08
828
Dollar Basis For Percent
Optional
Decimal number (R)
Min 1Max 9
TXI-09
325
Tax Identification Number
Optional
String (AN)
Min 1Max 20
TXI-10
350
Assigned Identification
Optional
String (AN)
Min 1Max 20
CTT
070
Summary > CTT

Transaction Totals

OptionalMax use 1
Example
CTT-01
354
Number of Line Items
Required
Numeric (N0)
Min 1Max 6
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

Sample

ISA*00* *00* *ZZ*SENDER *ZZ*RECEIVER *231106*1439*U*00401*000000001*0*T*>
GS*IN*SENDERGS*RECEIVERGS*20231106*143935*000000001*X*004010
ST*810*2207
BIG*20170616*1156906773**LAUNDRY HEB#00389***DI
REF*11*1234567
N1*SJ*Uniform company*91*123456789
ITD******20170716*30*****NET 30
DTM*186*20170612
DTM*187*20170616
IT1*7*1*EA*14.84*UM*VN*Item number
QTY*17*54
CTP**INV******14.84
PID*F****BUTCHER COAT SPUN
IT1*8*1*EA*14*UM*VN*Item Number
QTY*17*0
CTP**INV******14
PID*F****BUTCHER COAT SPUN-LOSS
IT1*9*2*EA*1.1*UM*VN*Item Number
QTY*17*2
CTP**INV******2.2
PID*F****Mat SPLASH STDY STEP
IT1*10*11*EA*0.28*UM*VN*Item Number
QTY*17*22
CTP**INV******3.08
PID*F****BUTCHER COAT MLS
IT1*11*1*EA*0.84*UM*VN*Item Number
QTY*17*7
CTP**INV******0.84
PID*F****BUTCHER COAT MLS
IT1*12*4*EA*0.28*UM*VN*Item Number
QTY*17*11
CTP**INV******1.12
PID*F****BUTCHER COAT MLS
IT1*6*2*EA*14*UM*VN*Item Number
QTY*17*0
CTP**INV******28
PID*F****BUTCHER COAT SPUN-LOSS
IT1*2*8*EA*0.64*UM*VN*Item Number
QTY*17*20
CTP**INV******5.12
PID*F****MOP SYNTHETIC BLN
IT1*3*22*EA*0.75*UM*VN*Item Number
QTY*17*22
CTP**INV******16.5
PID*F****Mat MAT STEADY STEP
IT1*4*34*EA*1.17*UM*VN*Item Number
QTY*17*34
CTP**INV******39.78
PID*F****Mat MAT STEADY STEP
IT1*5*1*EA*7*UM*VN*Item Number
QTY*17*54
CTP**INV******7
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