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X12 810 Utility Laundry Invoice
—
Delimiters
- ~ Segment
- * Element
- > Component
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Overview
ISA
-
Interchange Control Header
Max use 1
Required
GS
-
Functional Group Header
Max use 1
Required
heading
GE
-
Functional Group Trailer
Max use 1
Required
IEA
-
Interchange Control Trailer
Max use 1
Required
—
- 00
- No Authorization Information Present (No Meaningful Information in I02)
—
- 00
- No Security Information Present (No Meaningful Information in I04)
—
- U
- U.S. EDI Community of ASC X12, TDCC, and UCS
—
- 00401
- Draft Standards for Trial Use Approved for Publication by ASC X12 Procedures Review Board through October 1997
—
- 0
- No Acknowledgment Requested
- 1
- Interchange Acknowledgment Requested
—
- T
- Transportation Data Coordinating Committee (TDCC)
- X
- Accredited Standards Committee X12
Heading
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
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 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
DTM
140
Heading > DTM
Invoice Period End
RequiredMax use 10
—
Example
Variants (all may be used)
DTMInvoice Period StartIf 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
140
Heading > DTM
Invoice Period Start
RequiredMax use 10
—
Example
Variants (all may be used)
DTMInvoice Period EndIf 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
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
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
OptionalMax use 1
To identify a composite unit of measure
(See Figures Appendix for examples of use)
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
—
- CS
- City Sales Tax
- CT
- County Tax
- GR
- Gross Receipts Tax
- SE
- State Excise Tax
- ST
- State Sales Tax
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 Loop end
IT1 Loop end
Detail end
Summary
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
—
- CS
- City Sales Tax
- CT
- County Tax
- GR
- Gross Receipts Tax
- SE
- State Excise Tax
- ST
- State Sales Tax
Summary end
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
PID*F****BUTCHER COAT SPUN
TDS*13995
TXI*ST*7.47
CTT*11
SE*55*2207
GE*1*000000001
IEA*1*000000001
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
PID*F****BUTCHER COAT SPUN
TDS*13995
TXI*ST*7.47
CTT*11
SE*55*2207
GE*1*000000001
IEA*1*000000001
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