X12 810 Invoice

X12 Release 4010

Delimiters

• ~ Segment
• * Element
• > Component

ISA Interchange Control Header

Required · Max use 1

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 10 Max 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 10 Max 10

ISA-05 · I05 · Interchange ID Qualifier · Required · Identifier (ID) · Min 2 Max 2

Codes

• 01: Duns (Dun & Bradstreet)
• 02: SCAC (Standard Carrier Alpha Code)
• 03: FMC (Federal Maritime Commission)
• 04: IATA (International Air Transport Association)
• 08: UCC EDI Communications ID (Comm ID)
• 09: X.121 (CCITT)
• 10: Department of Defense (DoD) Activity Address Code
• 11: DEA (Drug Enforcement Administration)
• 12: Phone (Telephone Companies)
• 13: UCS Code (The UCS Code is a Code Used for UCS Transmissions; it includes the Area Code and Telephone Number of a Modem; it Does Not Include Punctuation, Blanks or Access Code)
• 14: Duns Plus Suffix
• 15: Petroleum Accountants Society of Canada Company Code
• 16: Duns Number With 4-Character Suffix
• 17: American Bankers Association (ABA) Transit Routing Number (Including Check Digit, 9 Digit)
• 18: Association of American Railroads (AAR) Standard Distribution Code
• 19: EDI Council of Australia (EDICA) Communications ID Number (COMM ID)
• 20: Health Industry Number (HIN)
• 21: Integrated Postsecondary Education Data System, or (IPEDS)
• 22: Federal Interagency Commission on Education, or FICE
• 23: National Center for Education Statistics Common Core of Data 12-Digit Number for Pre-K-Grade 12 Institutes, or NCES
• 24: The College Board's Admission Testing Program 4-Digit Code of Postsecondary Institutes, or ATP
• 25: American College Testing Program 4-Digit Code of Postsecondary Institutions, or ACT
• 26: Statistics of Canada List of Postsecondary Institutions
• 27: Carrier Identification Number as assigned by Health Care Financing Administration (HCFA)
• 28: Fiscal Intermediary Identification Number as assigned by Health Care Financing Administration (HCFA)
• 29: Medicare Provider and Supplier Identification Number as assigned by Health Care Financing Administration (HCFA)
• 30: U.S. Federal Tax Identification Number
• 31: Jurisdiction Identification Number Plus 4 as assigned by the International Association of Industrial Accident Boards and Commissions (IAIABC)
• 32: U.S. Federal Employer Identification Number (FEIN)
• 33: National Association of Insurance Commissioners Company Code (NAIC)
• 34: Medicaid Provider and Supplier Identification Number as assigned by individual State Medicaid Agencies in conjunction with Health Care Financing Administration (HCFA)
• 35: Statistics Canada Canadian College Student Information System Institution Codes
• 36: Statistics Canada University Student Information System Institution Codes
• 37: Society of Property Information Compilers and Analysts
• AM: Association Mexicana del Codigo de Producto (AMECOP) Communication ID
• NR: National Retail Merchants Association (NRMA) - Assigned
• SN: Standard Address Number
• ZZ: Mutually Defined

ISA-06 · I06 · Interchange Sender ID · Required · String (AN) · Min 15 Max 15

ISA-07 · I05 · Interchange ID Qualifier · Required · Identifier (ID) · Min 2 Max 2

Codes

• 01: Duns (Dun & Bradstreet)
• 02: SCAC (Standard Carrier Alpha Code)
• 03: FMC (Federal Maritime Commission)
• 04: IATA (International Air Transport Association)
• 08: UCC EDI Communications ID (Comm ID)
• 09: X.121 (CCITT)
• 10: Department of Defense (DoD) Activity Address Code
• 11: DEA (Drug Enforcement Administration)
• 12: Phone (Telephone Companies)
• 13: UCS Code (The UCS Code is a Code Used for UCS Transmissions; it includes the Area Code and Telephone Number of a Modem; it Does Not Include Punctuation, Blanks or Access Code)
• 14: Duns Plus Suffix
• 15: Petroleum Accountants Society of Canada Company Code
• 16: Duns Number With 4-Character Suffix
• 17: American Bankers Association (ABA) Transit Routing Number (Including Check Digit, 9 Digit)
• 18: Association of American Railroads (AAR) Standard Distribution Code
• 19: EDI Council of Australia (EDICA) Communications ID Number (COMM ID)
• 20: Health Industry Number (HIN)
• 21: Integrated Postsecondary Education Data System, or (IPEDS)
• 22: Federal Interagency Commission on Education, or FICE
• 23: National Center for Education Statistics Common Core of Data 12-Digit Number for Pre-K-Grade 12 Institutes, or NCES
• 24: The College Board's Admission Testing Program 4-Digit Code of Postsecondary Institutes, or ATP
• 25: American College Testing Program 4-Digit Code of Postsecondary Institutions, or ACT
• 26: Statistics of Canada List of Postsecondary Institutions
• 27: Carrier Identification Number as assigned by Health Care Financing Administration (HCFA)
• 28: Fiscal Intermediary Identification Number as assigned by Health Care Financing Administration (HCFA)
• 29: Medicare Provider and Supplier Identification Number as assigned by Health Care Financing Administration (HCFA)
• 30: U.S. Federal Tax Identification Number
• 31: Jurisdiction Identification Number Plus 4 as assigned by the International Association of Industrial Accident Boards and Commissions (IAIABC)
• 32: U.S. Federal Employer Identification Number (FEIN)
• 33: National Association of Insurance Commissioners Company Code (NAIC)
• 34: Medicaid Provider and Supplier Identification Number as assigned by individual State Medicaid Agencies in conjunction with Health Care Financing Administration (HCFA)
• 35: Statistics Canada Canadian College Student Information System Institution Codes
• 36: Statistics Canada University Student Information System Institution Codes
• 37: Society of Property Information Compilers and Analysts
• AM: Association Mexicana del Codigo de Producto (AMECOP) Communication ID
• NR: National Retail Merchants Association (NRMA) - Assigned
• SN: Standard Address Number
• ZZ: Mutually Defined

ISA-08 · I07 · Interchange Receiver ID · Required · String (AN) · Min 15 Max 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 9 Max 9

ISA-14 · I13 · Acknowledgment Requested · Required · Identifier (ID) · Min 1 Max 1

• 0: No Acknowledgment Requested
• 1: Interchange Acknowledgment Requested

ISA-15 · I14 · Usage Indicator · Required · Identifier (ID) · Min 1 Max 1

• I: Information
• P: Production Data
• T: Test Data

ISA-16 · I15 · Component Element Separator · Required · String (AN) · Min 1 Max 1

• >: Component Element Separator

GS Functional Group Header

Required · Max use 1

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 2 Max 15

GS-03 · 124 · Application Receiver's Code · Required · String (AN) · Min 2 Max 15

GS-04 · 373 · Date · Required · Date (DT) · CCYYMMDD format

GS-05 · 337 · Time · Required · Time (TM) · HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

GS-06 · 28 · Group Control Number · Required · Numeric (N0) · Min 1 Max 9

GS-07 · 455 · Responsible Agency Code · Required · Identifier (ID) · Min 1 Max 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

010 Heading > ST

ST Transaction Set Header

Required · Max use 1

ST-01 · 143 · Transaction Set Identifier Code · Required · Identifier (ID) · Min 3 Max 3

ST-02 · 329 · Transaction Set Control Number · Required · Numeric (N) · Min 4 Max 9

020 Heading > BIG

BIG Beginning Segment for Invoice

Required · Max use 1

BIG-01 · 373 · Date · Required · Date (DT) · CCYYMMDD format

BIG-02 · 76 · Invoice Number · Required · String (AN) · Min 1 Max 22

BIG-03 · 373 · Date · Optional · Date (DT) · CCYYMMDD format

BIG-04 · 324 · Purchase Order Number · Optional · String (AN) · Min 1 Max 22

BIG-07 · 640 · Transaction Type Code · Optional · Identifier (ID)

• CR: Credit Memo
• DI: Debit Invoice

030 Heading > NTE

NTE Note/Special Instruction

Optional · Max use 100

NTE-01 · 363 · Note Reference Code · Optional · Identifier (ID)

• GEN: Entire Transaction Set
• INV: Invoice Instruction

NTE-02 · 352 · Description · Required · String (AN) · Min 1 Max 80

040 Heading > CUR

CUR Currency

Optional · Max use 1

CUR-01 · 98 · Entity Identifier Code · Required · Identifier (ID)

• SE: Selling Party

CUR-02 · 100 · Currency Code · Required · Identifier (ID)

• USD: US Dollar

050 Heading > REF

REF Reference Identification

Optional · Max use 12

At least one of Reference Identification (REF-02) or Description (REF-03) is required

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

• 1X: Credit or Debit Adjustment Number
• 06: System Number
• AD: Acceptable Source DUNS Number
• BC: Buyer's Contract Number
• CO: Customer Order Number
• OI: Original Invoice Number
• TJ: Federal Taxpayer's Identification Number
• WX: Distributor's Account Identification
• ZZ: Mutually Defined

REF-02 · 127 · Reference Identification · Optional · String (AN) · Min 1 Max 30

REF-03 · 352 · Description · Optional · String (AN) · Min 1 Max 80

060 Heading > PER

PER Administrative Communications Contact

Optional · Max use 3

If either Communication Number Qualifier (PER-03) or Communication Number (PER-04) is present, then the other is required

PER-01 · 366 · Contact Function Code · Required · Identifier (ID)

• BJ: Operations
• CN: General Contact

PER-02 · 93 · Name · Optional · String (AN) · Min 1 Max 60

PER-03 · 365 · Communication Number Qualifier · Optional · Identifier (ID)

• TE: Telephone

PER-04 · 364 · Communication Number · Optional · String (AN) · Min 1 Max 80

PER-09 · 443 · Contact Inquiry Reference · Optional · String (AN) · Min 1 Max 20

N1 Loop Optional Max 200

070 Heading > N1 Loop > N1

N1 Name

Required · Max use 1

At least one of Name (N1-02) or Identification Code Qualifier (N1-03) is required

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)

• BT: Bill-to-Party
• RE: Party to receive commercial invoice remittance
• SE: Selling Party
• SF: Ship From
• ST: Ship To

N1-02 · 93 · Name · Optional · String (AN) · Min 1 Max 60

N1-03 · 66 · Identification Code Qualifier · Optional · Identifier (ID)

• 91: Assigned by Seller or Seller's Agent
• 92: Assigned by Buyer or Buyer's Agent

N1-04 · 67 · Identification Code · Optional · String (AN) · Min 2 Max 80

090 Heading > N1 Loop > N3

N3 Address Information

Optional · Max use 2

N3-01 · 166 · Address Information · Required · String (AN) · Min 1 Max 55

N3-02 · 166 · Address Information · Optional · String (AN) · Min 1 Max 55

100 Heading > N1 Loop > N4

N4 Geographic Location

Optional · Max use 1

N4-01 · 19 · City Name · Optional · String (AN) · Min 2 Max 30

N4-02 · 156 · State or Province Code · Optional · Identifier (ID) · Min 2 Max 2

N4-03 · 116 · Postal Code · Optional · Identifier (ID) · Min 3 Max 15

110 Heading > N1 Loop > REF

REF Reference Identification

Optional · Max use 12

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

• DP: Department Number

REF-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 30

130 Heading > ITD

ITD Terms of Sale/Deferred Terms of Sale

Optional · Max use >1

ITD-01 · 336 · Terms Type Code · Optional · Identifier (ID)

• 01: Basic

ITD-02 · 333 · Terms Basis Date Code · Optional · Identifier (ID)

• 3: Invoice Date

ITD-06 · 446 · Terms Net Due Date · Optional · Date (DT) · CCYYMMDD format

ITD-07 · 386 · Terms Net Days · Optional · Numeric (N0) · Min 1 Max 3

140 Heading > DTM

DTM Date/Time Reference

Optional · Max use 10

DTM-01 · 374 · Date/Time Qualifier · Required · Identifier (ID)

• 002: Delivery Requested
• 011: Shipped
• 035: Delivered
• 188: Credit Advice

DTM-02 · 373 · Date · Required · Date (DT) · CCYYMMDD format

Detail

IT1 Loop Optional Max 200000

010 Detail > IT1 Loop > IT1

IT1 Baseline Item Data (Invoice)

Required · Max use 1

If either Quantity Invoiced (IT1-02), Unit or Basis for Measurement Code (IT1-03) or Unit Price (IT1-04) are present, then the others are required

If either Product/Service ID Qualifier (IT1-06) or Product/Service ID (IT1-07) 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 (IT1-12) or Product/Service ID (IT1-13) 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 (IT1-14) or Product/Service ID (IT1-15) is present, then the other is required

IT1-01 · 350 · Assigned Identification · Optional · String (AN) · Min 1 Max 20

IT1-02 · 358 · Quantity Invoiced · Optional · Decimal number (R) · Min 1 Max 10

IT1-03 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID)

• CA: Case
• EA: Each
• LB: Pound

IT1-04 · 212 · Unit Price · Optional · Decimal number (R) · Min 1 Max 15

IT1-05 · 639 · Basis of Unit Price Code · Optional · Identifier (ID)

• PE: Price per Each
• PP: Price per Pound
• UM: Price per Unit of Measure

IT1-06 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID)

• VN: Vendor's (Seller's) Item Number

IT1-07 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

IT1-08 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID)

• IN: Buyer's Item Number

IT1-09 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

IT1-10 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID)

• UK: U.P.C./EAN Shipping Container Code (1-2-5-5-1)

IT1-11 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

IT1-12 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID)

• MG: Manufacturer's Part Number

IT1-13 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

IT1-14 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID)

• SR: Substitute Product Number

IT1-15 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

IT1-22 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID)

• BL: Brand/Label

IT1-23 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

015 Detail > IT1 Loop > QTY

QTY Quantity

Optional · Max use 5

QTY-01 · 673 · Quantity Qualifier · Required · Identifier (ID)

• 38: Original Quantity

QTY-02 · 380 · Quantity · Required · Decimal number (R) · Min 1 Max 15

QTY-03 · C001 · Composite Unit of Measure · Optional Max use 1 · To identify a composite unit of measure (See Figures Appendix for examples of use) · Usage notes

C001-01 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID)

• CA: Case
• EA: Each
• LB: Pound

030 Detail > IT1 Loop > IT3

IT3 Additional Item Data

Optional · Max use 5

If either Number of Units Shipped (IT3-01) or Unit or Basis for Measurement Code (IT3-02) is present, then the other is required

IT3-01 · 382 · Number of Units Shipped · Required · Decimal number (R) · Min 1 Max 10

IT3-02 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID)

• 31: Catchweight
• CA: Case
• EA: Each
• LB: Pound
• PN: Pounds Net

040 Detail > IT1 Loop > TXI

TXI Tax Information

Optional · Max use 10

TXI-01 · 963 · Tax Type Code · Required · Identifier (ID) · Min 2 Max 2

TXI-02 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

TXI-03 · 954 · Percent · Optional · Decimal number (R) · Min 1 Max 10

050 Detail > IT1 Loop > CTP

CTP Pricing Information

Optional · Max use 25

CTP-02 · 236 · Price Identifier Code · Optional · Identifier (ID)

• NET: Net Item Price

CTP-03 · 212 · Unit Price · Optional · Decimal number (R) · Min 1 Max 15

PID Loop Optional Max 1000

060 Detail > IT1 Loop > PID Loop > PID

PID Product/Item Description

Required · Max use 1

PID-01 · 349 · Item Description Type · Required · Identifier (ID)

• F: Free-form

PID-05 · 352 · Description · Required · String (AN) · Min 1 Max 80

090 Detail > IT1 Loop > PKG

PKG Marking, Packaging, Loading

Optional · Max use 25

If Description (PKG-05) is present, then Item Description Type (PKG-01) is required

PKG-01 · 349 · Item Description Type · Optional · Identifier (ID)

• F: Free-form

PKG-05 · 352 · Description · Required · String (AN) · Min 1 Max 80

100 Detail > IT1 Loop > PO4

PO4 Item Physical Details

Optional · Max use 1

PO4-01 · 356 · Pack · Optional · Numeric (N0) · Min 1 Max 6

120 Detail > IT1 Loop > REF

REF Reference Identification

Optional · Max use >1

At least one of Reference Identification (REF-02) or Description (REF-03) is required

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

• 1X: Credit or Debit Adjustment Number
• 87: Functional Category
• AS: Acceptable Source Supplier ID
• FK: Finish Lot Number
• FL: Fine Line Classification
• GZ: General Ledger Account
• HO: Shipper's Hazardous Number
• IA: Internal Vendor Number
• PG: Product Group

REF-02 · 127 · Reference Identification · Optional · String (AN) · Min 1 Max 30

REF-03 · 352 · Description · Optional · String (AN) · Min 1 Max 80

SAC Loop Optional Max >1

180 Detail > IT1 Loop > SAC Loop > SAC

SAC Service, Promotion, Allowance, or Charge Information

Required · Max use 1

SAC-01 · 248 · Allowance or Charge Indicator · Required · Identifier (ID)

• A: Allowance
• C: Charge

SAC-02 · 1300 · Service, Promotion, Allowance, or Charge Code · Required · Identifier (ID) · Min 4 Max 4

SAC-05 · 610 · Amount · Optional · Numeric (N2) · Min 1 Max 15

SAC-15 · 352 · Description · Optional · String (AN) · Min 1 Max 80

Summary

010 Summary > TDS

TDS Total Monetary Value Summary

Required · Max use 1

TDS-01 · 610 · Amount · Required · Numeric (N2) · Min 1 Max 15

020 Summary > TXI

TXI Tax Information

Optional · Max use 10

TXI-01 · 963 · Tax Type Code · Required · Identifier (ID)

• TX: All Taxes

TXI-02 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

SAC Loop Optional Max 25

040 Summary > SAC Loop > SAC

SAC Service, Promotion, Allowance, or Charge Information

Required · Max use 1

SAC-01 · 248 · Allowance or Charge Indicator · Required · Identifier (ID)

• A: Allowance
• C: Charge

SAC-02 · 1300 · Service, Promotion, Allowance, or Charge Code · Required · Identifier (ID) · Min 4 Max 4

SAC-05 · 610 · Amount · Optional · Numeric (N2) · Min 1 Max 15

SAC-15 · 352 · Description · Optional · String (AN) · Min 1 Max 80

050 Summary > SAC Loop > TXI

TXI Tax Information

Optional · Max use 10

TXI-01 · 963 · Tax Type Code · Required · Identifier (ID)

• LS: State and Local Sales Tax

TXI-02 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

070 Summary > CTT

CTT Transaction Totals

Required · Max use 1

If either Weight (CTT-03) or Unit or Basis for Measurement Code (CTT-04) is present, then the other is required

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

CTT-03 · 81 · Weight · Optional · Decimal number (R) · Min 1 Max 10

CTT-04 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID)

• LB: Pound

080 Summary > SE

SE Transaction Set Trailer

Required · Max use 1

SE-01 · 96 · Number of Included Segments · Required · Numeric (N0) · Min 1 Max 10

SE-02 · 329 · Transaction Set Control Number · Required · Numeric (N) · Min 4 Max 9

GE Functional Group Trailer

Required · Max use 1

GE-01 · 97 · Number of Transaction Sets Included · Required · Numeric (N0) · Min 1 Max 6

GE-02 · 28 · Group Control Number · Required · Numeric (N0) · Min 1 Max 9

IEA Interchange Control Trailer

Required · Max use 1

IEA-01 · I16 · Number of Included Functional Groups · Required · Numeric (N0) · Min 1 Max 5

IEA-02 · I12 · Interchange Control Number · Required · Numeric (N0) · Min 9 Max 9

EDI Samples

Sample 1

ISA*00*          *00*          *ZZ*SENDER         *ZZ*RECEIVER       *240124*1814*U*00401*000000001*0*T*>~
GS*IN*SENDERGS*RECEIVERGS*20240124*181425*000000001*X*004010~
BIG*20110509*9999999*20110509*WC 08***DI~
NTE*INV*The perishable agricultural commodities listing on this invoice are sold~
NTE*INV*subject to the statutory trust authorized by section 5(c) of the Perishable ~
NTE*INV*Agricultural Commodities Act, 1930 (7U.S.C.499c(c)). The seller of these ~
NTE*INV*commodities retains a trust claim over these commodities, all inventories ~
NTE*INV*of food and other products derived from these commodities, and any
receivables ~
NTE*INV*or proceeds from the sale of these commodities until full payment is
received.~
NTE*GEN*WC 08 CUS PU 9 30~
CUR*SE*USD~
REF*06*ASYS~
REF*TJ*36373233908~
REF*AD*607027680~
REF*CO*294656~
REF*ZZ*ECXXXXXX~
PER*BJ*DENVER/6V*TE*303.792.9230*****CONTENT SUPPORT~
PER*CN*US FOODSERVICE HELP DESK*TE*888.648.2580*****TRANSMISSION
SUPPORT~
N1*SE*US FOODSERVICE INC.*91*795140433~
N3*U.S. FOODSERVICE INC.*9399 W HIGGINS ROAD SUITE 500~
N4*ROSEMONT*IL*60018~
N1*ST*CUSTOMER*91*83860000~
N3*123 MAIN STREET*SUITE A~
N4*ANYTOWN*IL*99999~
REF*DP*000~
N1*ST*CUSTOMER*92*100~
N1*RE*US FOODSERVICE INC.*91*6214181854146~
N3*2838 COLLECTIONS CTR DR~
N4*CHICAGO*IL*60693~
N1*ST*CUSTOMER*91*83860000~
N3*123 MAIN STREET*SUITE A~
N4*ANYTOWN*IL*99999~
N1*SF*DENVER/6V*91*6V3160~
N3*11955 E. PEAKVIEW AVE.~
N4*CENTENNIAL*CO*80111~
ITD*01*3****20110529*20~
DTM*011*20110509~
DTM*035*20110509~
IT1*0001*1*CA*30.9*UM*VN*6955355*IN*11995*UK*00793799079360*MG*3291
-306-303*********BL*REMBRANDT~
QTY*38*1*CA~
IT3*40*PN~
IT3*1*CA~
CTP**NET*30.9~
PID*F****EGG LIQ WHL PSTRD B-I-B REF~
PKG*F****2/20 LB~
PO4*1~
REF*GZ*11995~
REF*IA*097148*REMBRANDT ENTERPRISES~
REF*FL*21*DAIRY~
REF*87*159*EGGS FURTHER PROCESSED~
REF*PG*1653*EGGS PROCESSED LIQUID RAW REFRIGERATED~
REF*AS*058237*REMBRANDT ENTERPRISES~
IT1*XXX*000000000*EA*0000000*UM*VN*XXX*IN*XXXX*UK*XX*MG*XXXXXX*SR*XXX*******BL*XXXXX~
QTY*38*1*CA~
IT3*34.8*31~
IT3*34.8*PN~
IT3*1*CA~
CTP**NET*84.56~
PID*F****PORK CARNITA CSHON MEAT MRNTD~
PKG*F****6/4.5 LBA~
PO4*6~
REF*IA*005623*HORMEL FOODS CORPORATION~
REF*FL*30*PORK~
REF*87*240*PORK FURTHER PROCESSED~
REF*PG*2166*PORK PRECOOKED OTHER FROZEN~
REF*AS*000052*HORMEL FOODS CORPORATION~
TDS*13080~
TXI*TX*7.34~
SAC*C*C650***800**********Fuel Surcharge~
CTT*2**74.8*LB~
GE*1*000000001~
IEA*1*000000001~