Invoice

ST*810*0001~
BIG*20060316*90612701*20061018*1234567~
N1*RI**92*12345~
N1*ST*RITE-AID LANCASTER DIST CTR*9*0145788920088~
N3*LANCASTER DIST CENTER~
N4*LANCASTER*CA*93536~
ITD*01*****20060415*30~
IT1**216*EA*6.98*PE*UA*041689400132*IN*0421586~
PID*F****Description~
IT1**216*EA*6.98*PE*UA*041689400101*IN*0421587~
PID*F****DESCRIPTION~
SAC*A*A400***228*******02***Allowance Non-Performance~
TDS*301536~
SAC*A*A400***228*******02***Allowance Non-Performance~
CTT*2~
SE*16*0001~

X12 810 Invoice