Delivery/Return Acknowledgment or 895 Adjustment 005010 UCS



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Delivery/Return Acknowledgment or 895 Adjustment 005010 UCS Functional Group=DX Heading: Pos Id Segment Name Req Max Use Repeat Notes Usage 0100 G87 Delivery/Return Adjustment M 1 Must use Identification 0200 G88 Delivery/Return Identification O 1 Used Adjustment LOOP ID - LS 1 0300 LS Loop Header O 1 Used Detail: Pos Id Segment Name Req Max Use Repeat Notes Usage LOOP ID - 0100 9999 0400 G89 Line Item Detail - Adjustment O 1 Used 0405 G22 Pre-Pricing Information O 1 Used 0410 G72 Allowance or Charge O 10 Used 0415 G23 Terms of Sale O 20 Used Summary: Pos Id Segment Name Req Max UseRepeat Notes Usage 0800 LE Loop Trailer O 1 Used 0900 G72 Allowance or Charge O 20 Used 01000 G23 Terms of Sale O 20 Used 01100 G84 Delivery/Return Record of O 1 Used Totals 01200 G86 Signature Identification M 1 Must use 01300 G85 Record Integrity Check M 1 Must use 5010 895 UCS.ecs 1 For internal use only

G87 User Option (Usage): Must use Delivery/Return Adjustment Identification Pos: 0100 Max: 1 Heading - Mandatory Loop: N/A Elements: 5 G8701 868 Initiator Code M ID 1/1 Must use Code identifying initiator of the transaction Code Name R Receiver S Sender G8702 478 Credit/Debit Flag Code M ID 1/1 Must use Code indicating whether amount is a debit or a credit Code Name C Credit D Debit G8703 861 Supplier's Delivery/Return Number M AN 1/22 Must use The Supplier s Invoice Number Example Data: 1234567890 G8704 866 Integrity Check Value M AN 1/12 Must use A data element providing a secure method for identifying authenticity of content. The value may be calculated by using the CRC 16 algorithm. If the supplier opted not to use this field for this purpose in data element G8501 of the base record, Kroger's system will automatically generate the four digit CRC value. G8705 869 Adjustment Sequence Number M N0 1/1 Must use Sequential number for adjustment beginning with 1 and incremented by 1 for each additional adjustment regardless of which party is the originator. Example Data: 1 G88 Delivery/Return Identification Adjustment Pos: 0200 Max: 1 Heading - Optional Loop: N/A Elements: 5 G8801 872 Physical Delivery or Return Date O DT 8/8 Used Actual or intended date of physical delivery or return expressed in format CCYYMMDD G8802 873 Product Ownership Transfer Date O DT 8/8 Used Date which is meaningful for both supplier and distributor for various mutually defined purposes expressed in format CCYYMMDD G8803 324 Purchase Order Number O AN 1/22 Used Identifying number for Purchase Order assigned by the orderer/purchaser. 5010 895 UCS.ecs 2 For internal use only

G8804 323 Purchase Order Date O DT 8/8 Used Date assigned by the purchaser to Purchase Order expressed in format CCYYMMDD G8805 862 Receiver's Location Number O AN 1/6 Used Number assigned by the customer that when combined with receiver Duns number uniquely identifies the receiving location. LS Loop Header Pos: 0300 Max: 1 Heading - Optional Loop: LS Elements: 1 LS01 447 Loop Identifier Code M AN 1/4 Must use The loop ID number, typically '0100' is used. The LE01 field must mirror the number in this field to close the loop. Example Data: 0100 G89 Line Item Detail - Adjustment Pos: 0400 Max: 1 Detail - Optional Loop: 0100 Elements: 8 G8901 204 Direct Store Delivery Sequence Number M N0 1/4 Must use Direct Store Delivery sequential number of the line item detail or a new line item detail. It is used to identify the line item being adjusted. It corresponds to the G8301 in the Line Item Detail segment of the base record. If a new item has been added to the record, the next available sequence number will have been assigned. The line items in the base record are numbered 1, 2, 3,...N. New items added in acknowledgment/adjustment records will be number N+1, N+2, etc... If a new item has been added, all of the data element rules from the G83 segment concerning mandatory, optional, paired... conditions carry over to the corresponding data elements in this G89 segment. Example Data: 1 G8902 380 Quantity O R 1/15 Used Numeric value of quantity being delivered. The unit of measure for this value follows in the G8903 field. For credit invoices, this number must still be positive. The system determines whether or not the invoice is a credit or a debit by the G8201 field. Example Data: 1 G8903 355 Unit or Basis for Measurement Code O ID 2/2 Used 5010 895 UCS.ecs 3 For internal use only

Code specifying the units in which the quantity (G8302) is being expressed. CA Cases EA Eaches LB Pounds G8904 766 UPC O AN 12/12 Used UPC identifying the retail shelf unit. Syntax is 0LMMMMMIIIII where L = Leading UPC Check Digit, MMMMM = Manufacturer ID, and IIIII = Product ID. Example Data: UPC 0-12345-67890 would be transmitted as '001234567890'. The trailing UPC check digit is always ignored and should not be included under any circumstances. G8905 235 Product/Service ID Qualifier O ID 2/2 Used Code identifying the type/source of the descriptive number used in Product/Service ID (G8906) Example Data: 'UK' - Global Trade Identification Number UK GTIN 14-digit Data Structure G8906 234 Product/Service ID O AN 1/48 Used Identifying number for a product or service. G8908 237 Item List Cost O R 1/9 Used Gross unit cost of the line item per receiving unit of measure. Extended cost would be the number in this field multiplied by the G8302, plus or minus any G72 charges or allowances. Example Data: 1.23 G8909 356 Pack O N0 1/6 Used Number of inner containers or eaches per outer container. Example Data: 12 G22 Pre-Pricing Information Pos: 0405 Max: 1 Detail - Optional Loop: 0100 Elements: 3 G2201 288 Pre-priced Option Code M ID 1/1 Must use G2202 420 Price New, Suggested Retail O N2 2/7 Used G2203 289 Multiple Price Quantity O N0 1/2 Used G72 Allowance or Charge Pos: 0410 Max: 10 Detail - Optional Loop: 0100 Elements: 9 G7201 340 Allowance or Charge Code M ID 1/3 Must use Code identifying the type of allowance or 5010 895 UCS.ecs 4 For internal use only

charge 47 Competitive Marketing Allowance Note: Currently, only code 47 is used. For a complete list of codes, refer to your UCS for DSD Implementation and User Guide, Appendix C G7202 331 Allowance or Charge Method of Handling M ID 2/2 Must use Code Code indicating the method of handling for an allowance or charge 01 Bill Back 02 Off Invoice 15 Information Only Note: When code 15 is used, the allowance or charge amounts are not to be added or subtracted from the transaction. The information is being provided for information only. G7203 341 Allowance or Charge Number C AN 1/16 Used G7205 359 Allowance or Charge Rate C R 1/15 Used Allowance or charge rate per unit. This number is positive for charges and negative for allowances. Example data: -1.23 G7206 339 Allowance or Charge Quantity C R 1/10 Used G7207 355 Unit or Basis for Measurement Code C ID 2/2 Used G7208 360 Allowance or Charge Total Amount C N2 1/15 Used G7209 332 Percent, Decimal Format C R 1/6 Used G7210 828 Dollar Basis For Percent C R 1/9 Used G23 Terms of Sale Pos: 0415 Max: 20 Detail - Optional Loop: 0100 Elements: 11 G2301 336 Terms Type Code M ID 2/2 Must use G2302 333 Terms Basis Date Code M ID 1/2 Must use G2303 282 Terms Start Date O DT 8/8 Used G2304 283 Terms Due Date Qualifier O ID 2/2 Used G2305 338 Terms Discount Percent O R 1/6 Used G2306 370 Terms Discount Due Date O DT 8/8 Used G2307 351 Terms Discount Days Due O N0 1/3 Used G2308 446 Terms Net Due Date C DT 8/8 Used G2309 386 Terms Net Days C N0 1/3 Used G2310 362 Terms Discount Amount O N2 1/10 Used G2315 3 Free-form Message O AN 1/60 Used 5010 895 UCS.ecs 5 For internal use only

LE Loop Trailer Pos: 0800 Max: 1 Summary - Optional Loop: LS Elements: 1 LE01 447 Loop Identifier Code M AN 1/4 Must use This must be the same value used in the LS01 field to close the loop. Example Data: 0100 G72 Allowance or Charge Pos: 0900 Max: 20 Summary - Optional Loop: N/A Elements: 8 G7201 340 Allowance or Charge Code M ID 1/3 Must use Code identifying the type of allowance or charge 47 Competitive Marketing Allowance Note: Currently, only code 47 is used. For a complete list of codes, refer to your UCS for DSD Implementation and User Guide, Appendix C G7202 331 Allowance or Charge Method of Handling M ID 2/2 Must use Code Code indicating the method of handling for an allowance or charge 01 Bill Back 02 Off Invoice 15 Information Only Note: When code 15 is used, the allowance or charge amounts are not to be added or subtracted from the transaction. The information is being provided for information only. G7205 359 Allowance or Charge Rate C R 1/15 Used Allowance or charge rate per unit. This number is positive for charges and negative for allowances. Example data: -1.23 G7206 339 Allowance or Charge Quantity C R 1/10 Used G7207 355 Unit or Basis for Measurement Code C ID 2/2 Used CA Case EA Each LB Pound G7208 360 Allowance or Charge Total Amount C N2 1/15 Used G7209 332 Percent, Decimal Format C R 1/6 Used G7210 828 Dollar Basis For Percent C R 1/9 Used 5010 895 UCS.ecs 6 For internal use only

G23 Terms of Sale Pos: 01000 Max: 20 Summary - Optional Loop: N/A Elements: 11 G2301 336 Terms Type Code M ID 2/2 Must use G2302 333 Terms Basis Date Code M ID 1/2 Must use G2303 282 Terms Start Date O DT 8/8 Used G2304 283 Terms Due Date Qualifier O ID 2/2 Used G2305 338 Terms Discount Percent O R 1/6 Used G2306 370 Terms Discount Due Date O DT 8/8 Used G2307 351 Terms Discount Days Due O N0 1/3 Used G2308 446 Terms Net Due Date C DT 8/8 Used G2309 386 Terms Net Days C N0 1/3 Used G2310 362 Terms Discount Amount O N2 1/10 Used G2315 3 Free-form Message O AN 1/60 Used G84 Delivery/Return Record of Totals Pos: 01100 Max: 1 Summary - Optional Loop: N/A Elements: 2 G8401 380 Quantity C R 1/15 Used This quantity is the numerical sum of all G8302 records. Where a mix of units of measure is used, this sum will have no physical meaning, but merely serves as a numerical check. Example Data: 123.456 G8402 361 Total Invoice Amount C N2 1/10 Used Total invoice amount, including charges, less allowances. The value in this field should match the sum of all extended line item list costs, minus allowances, if any. A value of "12345" in this field automatically translates to $123.45. Do not include a decimal in this field. This number must be positive, unless the allowances exceed the charges. For credits, the value in this field must be positive with the G8201 indicated as 'C' for Credit. Example Data: 12345 5010 895 UCS.ecs 7 For internal use only

G86 Signature Identification Pos: 01200 Max: 1 Summary - Mandatory Loop: N/A Elements: 1 User Option (Usage): Must use G8601 867 Signature O AN 1/12 Used Electronic identity. This segment may be used to provide a digital signature for verifying the authenticity of the party that generated this base record (and also verify that the contents of the message itself have not been altered). Beyond this, the standard assigns no particular significance, legal or otherwise, to the signature. The digital signature is generated using an algorithm and a secret key chosen by the vendor. The use of this is at the vendor's discretion. G85 Record Integrity Check Pos: 01300 Max: 1 Summary - Mandatory Loop: N/A Elements: 1 User Option (Usage): Must use G8501 866 Integrity Check Value M AN 1/12 Must use A data element providing a secure method for identifying authenticity of content. The value may be calculated by using the CRC 16 algorithm. If the vendor opts not to use this field for this purpose, the vendor's name will suffice, without spaces, up to 12 characters. Example Data: TheKrogerCo 5010 895 UCS.ecs 8 For internal use only

Data Example G87*R*D*4422147166*INGRAM*1~ LS*0100~ G89*7*1*CA*082011910929****19.2~ LE*0100~ G84*44*96166~ G86*FC8B~ G85*4C81~ 895 Acknowledgement / no change to invoice 14612297: ST*895*0085~ G87*R*D*14612297*DPI/RM*1~ G86*BB30~ G85*3737~ SE*5*0085~ 895 adjustment - date change to invoice 8053818: ST*895*0065~ G87*R*D*8053818*0*1~ G88*20131022~ G86*3FAF~ G85*D072~ SE*6*0065~ 895 adjustment item quantity, cost and date changes on invoice 831389: ST*895*10735004~ G87*R*D*831389*123412341234*1~ G88*20131022~ Date Change LS*0100~ G89*5*1*CA*000000004867****12.5~ Item 5 of invoice 831389, Cost change G89*7*1*CA*040604808211****32~ G89*9*1*CA*000000054854****29~ G89*11*2*CA*040604808991~ G89*14*0**003784204231~ Quantity change for item 14 LE*0100~ G84*36*47050~ Total quantity and cost change G86*9929~ G85*1079~ SE*14*10735004~ 895 adjustment item quantity change only on invoice 8045291: ST*895*1326~

G87*R*D*8045291*0*1~ LS*0100~ G89*1*0*EA*004082211962~ G89*2*0*EA*004133109046~ G89*3*0*EA*074454811225~ G89*4*0*EA*004980001310~ G89*5*0*EA*005132810917~ G89*6*0*EA*005132899573~ G89*7*0*EA*007377354609~ G89*8*0*EA*008606920050~ G89*9*0*EA*008606920100~ G89*10*0*EA*008606920200~ LE*0100~ G84*0*0~ G86*B375~ G85*B613~ SE*18*1326~ 895 / Cost/allowance adjustments to invoice 8054234: ST*895*55854135~ G87*R*D*8054234*0*1~ LS*0100~ G89*1*12*EA*004164110101****3.29~ G72*499*02***-.0167~ G89*2*12*EA*004164110103****3.29~ G72*499*02***-.0167~ G89*3*12*EA*004164110104****3.29~ G72*499*02***-.0167~ G89*4*12*EA*004164120103****2.65~ G72*499*02***-.0167~ LE*0100~ G84*180*43246~ G86*2C8F~ G85*F23B~ SE*16*55854135~ 895 / cost, unit of measure and pack changes to invoice 5863700: ST*895*59015003~ G87*R*C*5863700*INGRAM*1~ LS*0100~ G89*1*5*EA*009736350404****19.31*1~ G89*2*1*EA*003242913816****25.85*1~ LE*0100~ G84*6*12240~ G86*0447~ G85*9FF6~ SE*10*59015003~