How To Write A Bill Of Sale

810 ASC X12 Finance Subcommittee Consumer Service Provider (CSP) Billing and Payment Guide Version 003 Release 061 - CSP - Consumer Service Provider Biller Consumer Network Payment System 810 Invoice Transaction Set Section JUNE 1996 VERSION 1.0 810

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE 810 DISA 1996 Copyright by Data Interchange Standards Association, Inc. All rights reserved throughout the world. 810 ù ii VERSION 1.0 JUNE 1996

810 Preface Organization of Guide This document should be treated as a guide or education and implementation tool. It is intended to aid in the consistent use of Accredited Standards Committee (ASC) X12 standards within and across multiple industries when implementing consumer electronic billing and payment through third party consumer service providers. The following are the documents (sections) that make up the Consumer Service Provider (CSP) Billing and Payment Guide. 1. General Section 2. 814 - General Request, Response or Confirmation Transaction Set Section 3. 810 - Invoice Transaction Set Section 4. 820 - Payment Order/Remittance Advice Transaction Set Section Acknowledgments This guide was prepared by members of the Finance Subcommittee organized and established by ASC X12. The X12 Finance Subcommittee developed and maintains the referenced standards as well as this guide. Responsibility for the content of this guide resides specifically with the Consumer Service Provider Billing and Payment Work Group (WG4) of the Invoice and Payment Task Group (TG2) of the ASC X12 Finance Subcommittee. The information contained in this document is based on the input of X12 Finance Subcommittee member organizations, third party service providers and financial institutions. Comments, questions, and suggestions for improvement from any trading partner, financial institution or third party are strongly encouraged and may be submitted in writing to the secretariat of ASC X12, the Data Interchange Standards Association, Inc. (DISA) using the contact information listed on the following page. They will be forwarded to the X12 Finance Subcommittee. Obtaining Document Copies This document is available in multiple formats. 1. Electronic Download An electronic version of this document is available for download. It may be accessed through the DISA World Wide Web Internet site listed on the following page. This document is located under the X12 Finance Subcommittee (X12F) page, under the Documents. 2. Diskette An electronic version of this document is available on diskette from DISA using the contact information listed on the following page. 3. Paper A copy of this document is available on paper from DISA using the contact information listed on the following page. The ASC X12 standards mentioned in this document are available from DISA and may be ordered by calling 1-888-363-2334. JUNE 1996 VERSION 1.0 810 ù iii

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE 810 DISA Contact Information Data Interchange Standards Association, Inc. Director, Publications & Standards 1800 Diagonal Road, Suite 200 Alexandria, VA 22314-2852 Phone: (703) 548-7005 Fax: (703) 548-5738 Email: publications@disa.org Additional information on DISA, ASC X12 and the X12 Finance Subcommittee may be obtained on the DISA World Wide Web Internet site at: http://www.disa.org 810 ù iv VERSION 1.0 JUNE 1996

810 810 Invoice Table of Contents 1. Overview...1-1 1.1 Description...1-1 1.2 Transaction Set Usage...1-1 1.2.1 General...1-1 1.2.2 Structure Information...1-1 1.3 Data Element Usage...1-2 2. Mapping Examples...2-1 2.1 Example 1 - Retail Invoice from a Biller...2-1 2.2 Example 2 - Cable Invoice from a Biller...2-7 3. Cross Reference...3-1 4. Detail Layout...4-1 JUNE 1996 VERSION 1.0 810 ù v

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE 810 This Page Intentionally Blank 810 ù vi VERSION 1.0 JUNE 1996

810ù 1 - OVERVIEW 810 Invoice 1. Overview 1.1 Description The 810 is an EDI Invoice transaction set. It is used to send invoice and statement information from a Biller to a CSP on behalf of the Consumer. 1.2 Transaction Set Usage 1.2.1 General The 810 transaction set is considered a one-to-one transaction. The Biller will create ONE 810 invoice for each ONE Consumer Invoice/Statement sent to the Consumer by the CSP. 1.2.2 Structure Information The following structure charts show how each transaction set table is used. Table 1 - General Invoice Information Type of Action Type of Information Segment Identify Invoice Invoice Identifiers BIG Invoice Currency CUR Invoice/Account Level Reference REF Identify Invoice Parties Numbers Biller N1 Loop, Biller/Seller (SE Qualifier) CSP Customer, Bill To N1 Loop, CSP Customer/Bill To (8R or BT Qualifier) CSP N1 Loop, CSP (8S Qualifier) Line Item Buyer/Service Location N1 Loop, Vendor (BY Qualifier) Line Item Property Location N1 Loop, Vendor (PP Qualifier) Line Item Meter Location N1 Loop, Buyer (MQ Qualifier) Invoice General Invoice Terms ITD Invoice Dates DTM Invoice Messages PID Invoice Balances BAL Invoice Installment Information INC Table 2 - Invoice Item Information One Line Item per Invoiced Item. Type of Action Type of Information Segment Detail Invoice Line Item Line Item Identify Item, Units, Amounts, Product/Service Type/Identifier Line Item Currency Line Item Tax Information IT1 Invoice Base Line Item CUR TXI JUNE 1996 VERSION 1.0 810 ù 1-1

VERSION 003 ù RELEASE 061 810ù 1 - OVERVIEW ASC X12 FINANCE SUBCOMMITTEE Type of Action Type of Information Segment Line Item Period Amounts/Use Data PAM Line Item Meter Reading Information MEA Line Item Free-Form Product Description PID Line Item Reference Numbers REF Line Item Dates DTM Detail Invoice Line Line Item Service/Promotion/Allowance/ SAC Loop Items Allowances and Charges Charge Information Line Item Service/Promotion/Allowance/ TXI Detail Line Item Seller, Buyer or Service Location Charge Tax information Line Item Seller/Merchant (Vendor) Table 3 - Invoice Summary Information One Line Items per Invoiced Item. Type of Action Type of Information Segment Summarize Total Invoice Amount TDS Invoice Non Line Item Invoice SAC Allowances/Charges Number of Invoice Line Items CTT N1 Loop, Vendor (VN Qualifier) 1.3 Data Element Usage Account/Invoice Level Reference Number With recurring invoicing, a customer may have one account number under which invoices are rendered monthly, such as for a credit card, utilities or telephone service. If the account number is used as an invoice number, this may cause a problem because some CSP systems will not allow the same invoice number for the same Customer to be processed again. It would be considered a duplicate invoice. The solution is to implement a standard way to make the invoice number unique. The following are suggested solutions: (1) For Billers who DO have unique invoice numbers: The invoice number is the Billers invoice number. Invoices are issued with this unique number. Payments are made to this unique number. (2) For Billers who DO NOT have unique invoice numbers: The invoice number is created by using the account number plus a date suffix. The date suffix should include at least a month and year designation. The day is optional. This date suffix may be in any format the Biller chooses. Such as: xxxxxx9401 xxxxxx1994jan xxxxxx-1994jan xxxxxx-9401 xxxxxx94jan xxxxxx940115 xxxxxx-940115 xxxxxx-94jan Invoices are issued with this unique number. Payments are made to this unique number or to an Account Number. In order for payments to be made to an Account Number, one of two reference numbers must be passed in the invoice transaction, using the following reference number qualifier: 11 - Account Number If either of these reference numbers are not present, then the invoice number should be used in the payment transaction. If the invoice number is used, the Biller must be able to remove the suffix from the account number prior to trying to apply the payment to the accounts receivable system. 810 ù 1-2 VERSION 1.0 JUNE 1996

810 ù 2 - MAPPING EXAMPLES 810 Invoice 2. Mapping Examples 2.1 Example 1 - Retail Invoice from a Biller Example 1 - Business Scenario ABC Company is a large retail biller. 123 Easy Pay is a Consumer Service Provider (CSP) which provides consumers and small businesses with bill payment services using PC software, including electronic invoicing and payments with large billers. 123 Easy Pay has four customers, Joe Doe, Mary Q. Smith, Sue Parks & Fred Jones. Example 1 - Transaction Scenario ABC Company delivers a retail invoice to Mary Q. Smith through 123 Easy Pay. Biller 810 CSP Consumer ABC Company 123 Easy Pay Joe, Mary, Sue, Fred Example 1 - Transaction Participant Information Biller Name: ABC Company ID: 999999999 CSP Name: 123 Easy Pay ID: 123000000 Consumers Name: Mary Q. Smith ID: 123-SMITH Example 1 - Transaction Payment Information See sample invoice on next page JUNE 1996 VERSION 1.0 810 ù 2-1

VERSION 003 ù RELEASE 061 810ù 2 - MAPPING EXAMPLES ASC X12 FINANCE SUBCOMMITTEE Example 1 - Retail Store Invoice ABC COMPANY A DIVISION OF THE BBB DEPARTMENT STORES COMPANY 13 Account Number New Balance Payment Now Due Please Mail By Enter Amount Due 2 74-001-999-2 74.62 20.00 01/22/95 2 3 4 5 CAR-RT PRESORT ** C058 MAIL PAYMENT TO: 6 MICHAEL D SMITH 12 ABC COMPANY 7 MARY Q SMITH 14 PO BOX 6099 8 7 MAPLE CT 15-17 ST LOUIS MO 63101-6099 9-11 ST CHARLES MO 63303-3156 1297400199922000074620000000000002000 1 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------ Please detach here and return the upper portion with your check or money order THANK YOU FOR SHOPPING AT ABC COMPANY DATE REF. NO. STORE/DEPT DESCRIPTION AMOUNT DEC 02 A 043-1798 B 06 581 C WOMENS SPORTSWEAR D 21.36 E DEC 15 F 007-5649 G 06 453 H LIZ SPORTSWEAR I 28.84 J DEC 19 K 039-4444 L 07 547 M INFANT WEAR N 15.36 O DEC 20 P 044-3622 Q 06 148 R INFANT LAYETTE S 9.06 T DEC 24 U 021-0074 V 98 999 W PAYMENT RECEIVED-THANK YOU X 195.66 CR Y THANK YOU FOR CHOOSING ABC COMPANY FOR YOUR HOLIDAY 30 SHOPPING. WE APPRECIATE YOUR BUSINESS AND LOOK FORWARD TO SERVING YOU IN 1995. A-025211 A 29 ABC COMPANY ACCOUNT SUMMARY BILLING INQUIRIES - CALL (800) 528-0780 31 To avoid incurring additional finance charges you may remit your new balance in full within 25 days of the billing date shown below 32 PREVIOUS BALANCE + PURCHASES + FINANCE CHARGE - PAYMENTS - CREDITS = NEW BALANCE 195.66 74.62.00 195.66.00 74.62 19 20 22 23 3 ANNUAL PERCENTAGE RATE MONTHLY PERIODIC RATE AVERAGE DAILY BALANCE PAST DUE AMOUNT PAYMENT NOW DUE 20.04 1.670.00 20.00 28 4 Refer to your account number when making inquiries. This bill contains transactions through the billing date ACCOUNT NUMBER CREDIT LINE BILLING DATE PLEASE MAIL BY 74-001-999-2 FLEX 5000 12/28/94 01/22/95 2 18 27 1 5 810 ù 2-2 VERSION 1.0 JUNE 1996

810 ù 2 - MAPPING EXAMPLES Example 1 - Transaction Set Mapping Table1 Segment Contents Ref. Element Descriptions ST*810*0001 n/l Transaction Set ID: 810 Control Number: 0001 BIG*941228*7400199921294*****D I n/l 2 1&2 REF*12*740019992 n/l 1 REF*9X*FLEX* n/l 18 REF*DD*A0252211A n/l 29 N1*SE*ABC COMPANY* 1*999999999 n/l 12 Invoice Date: 941228 Invoice Number: 7400199921294 Transaction Type: DI, Debit Invoice Reference Number Qualifier: 12, Billing Account Reference Number: 740019992 Reference Number Qualifier: 9X, Account Category Reference Number: FLEX Reference Number Qualifier: DD, Document ID Reference Number: A0252211A Entity Identifier : SE, Selling Party follows Name: ABC COMPANY (4) Identification Qualifier: 1, DUNS number follows Identification : 999999999 N2*A DIVISION OF BBB DEPT STORES CO n/l 13 Additional Name: A DIVISION OF BBB DEPT STORES CO N3*PO BOX 6099 n/l 14 Address: PO BOX 6099 N4*ST LOUIS*MO*631016099 n/l 15 16 17 City: ST LOUIS State: MO Postal : 631016099 PER*IC*BILLING INQUIRIES*TE*8005280780 n/l Contact Function : IC, Information Contact Name: BILLING INQUIRIES Communication Number Qualifier: TE, Telephone Communication Number: 8005280780 Entity Identifier : BT, Bill To follows Name: MICHAEL D SMITH 31 N1*BT*123 MICHAEL D SMITH n/l 6 N2*MARY Q SMITH n/l 7 Additional Name: MARY Q. SMITH N3*7 MAPLE CT n/l 8 Address: 7 MAPLE CT N4*ST CHARLES*MO*633033156 City: ST CHARLES n/l State: MO N1*8S*123 EASY PAY* 1*123000000 n/l 9 10 11 Postal : 633033156 Entity Identifier : 8S, Consumer Service Provider, CSP follows Name: 123 EASY PAY Identification Qualifier: 1, DUNS Number follows Identification : 123000000 N3*1234 MAIN STREET n/l Address: 1234 MAIN STREET N4*COLUMBUS*OH*430173221 City: COLUMBUS n/l State: OH Postal : 430173221 PER*IC*CUSTOMER INFORMATION* TE*6147911234 n/l ITD*18*****950125 n/l DTM*946*950122 n/l 32 5 Contact Function : IC, Information Contact Name: CUSTOMER INFORMATION Communication Number Qualifier: TE, Telephone Communication Number: 6147911234 Terms Type : 18, Fixed Date, Late Payment Penalty Applies Terms Net Due Date: 950125 Date/Time Qualifier: 946, Mail by date Date: 950122 JUNE 1996 VERSION 1.0 810 ù 2-3

VERSION 003 ù RELEASE 061 810ù 2 - MAPPING EXAMPLES ASC X12 FINANCE SUBCOMMITTEE Segment Contents Ref. Element Descriptions PID*F****THANK YOU FOR CHOOSING ABC COMPANY FOR YOUR HOLIDAY SHOPPING. n/l 30a Item Description Type: F, Free Form Description: THANK YOU FOR CHOOSING ABC COMPANY FOR YOUR HOLIDAY SHOPPING. PID*F****WE APPRECIATE YOUR BUSINESS AND LOOK FORWARD TO SERVING YOU IN 1995. n/l BAL*P*BD*19566 n/l BAL*M*GY*7462 n/l BAL*M*GX*0 n/l BAL*M*TP*19566 n/l BAL*M*BD*7462 n/l BAL*M*PJ*0 n/l BAL*M*KS*2000 n/l BAL*M*GO*500000 n/l 30b 19 20 23 22 3 28 4 27 Item Description Type: F, Free Form Description: WE APPRECIATE YOUR BUSINESS AND LOOK FORWARD TO SERVING YOU IN 1995. Balance Type : P, Previous Month Amount Qualifier : BD, Balance Due Monetary Amount: $195.66 Balance Type : M, Current Month Amount Qualifier : GY, Total Debits/Purchases Monetary Amount: $74.62.00 Balance Type : M, Current Month Amount Qualifier : GX, Total Credits/Returns Monetary Amount: $0.00 Balance Type : M, Current Month Amount Qualifier : TP, Total Payments Monetary Amount: $195.66 Balance Type : M, Current Month Amount Qualifier : BD, Balance Due Monetary Amount: $74.62 Balance Type : M, Current Month Amount Qualifier : PJ, Past Due Amount Monetary Amount: $0.00 Balance Type : M, Current Month Amount Qualifier : KS, Minimum Fee Monetary Amount: $20.00 Balance Type : M, Current Month Amount Qualifier : GO, Credit Line Amount Monetary Amount: $5000.00 Table2 Segment Contents Ref. Element Descriptions IT1*1 n/l Assigned Identification: 1 PID*F****WOMENS SPORTSWEAR n/l D Item Description Type: F, Free Form Description: WOMENS SPORTSWEAR REF*IX*043-1798 n/l B Reference Number Qualifier: IX, Item Number Reference Number: 043-1798 REF*ST*06 n/l Ca Reference Number Qualifier: ST, Store Number Reference Number: 06 REF*DP*581 n/l Cb Reference Number Qualifier: DP, Department Number Reference Number: 581 DTM*321*941202 n/l A Date/Time Qualifier: 321, Purchased Date: 941202 SAC*C*D340***21.36 n/l E Allowance or Charge Indicator: C, Charge Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges Amount: $21.36 IT1*2 n/l Assigned Identification: 2 PID*F****LIZ SPORTSWEAR n/l I Item Description Type: F, Free Form Description: LIZ SPORTSWEAR REF*IX*007-5649 n/l Reference Number Qualifier: IX, Item Number 810 ù 2-4 VERSION 1.0 JUNE 1996

810 ù 2 - MAPPING EXAMPLES Segment Contents Ref. Element Descriptions G Reference Number: 007-5649 REF*ST*06 n/l Ha Reference Number Qualifier: ST, Store Number Reference Number: 06 REF*DP*453 n/l Hb Reference Number Qualifier: DP, Department Number Reference Number: 453 DTM*321*941215 n/l F Date/Time Qualifier: 321, Purchased Date: 941215 SAC*C*D340***28.84 n/l J Allowance or Charge Indicator: C, Charge Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges Amount: $28.84 IT1*3 n/l Assigned Identification: 3 PID*F****INFANT WEAR n/l N Item Description Type: F, Free Form Description: INFANT WEAR REF*IX*039-4444 n/l L Reference Number Qualifier: IX, Item Number Reference Number: 039-4444 REF*ST*07 n/l Ma Reference Number Qualifier: ST, Store Number Reference Number: 07 REF*DP*547 n/l Mb Reference Number Qualifier: DP, Department Number Reference Number: 547 DTM*321*941219 n/l K Date/Time Qualifier: 321, Purchased Date: 941219 SAC*C*D340***15.36 n/l O Allowance or Charge Indicator: C, Charge Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges Amount: $15.36 IT1*4 n/l Assigned Identification: 4 PID*F****INFANT LAYETTE n/l S Item Description Type: F, Free Form Description: INFANT LAYETTE REF*IX*044-3622 n/l Q Reference Number Qualifier: IX, Item Number Reference Number: 044-3622 REF*ST*06 n/l Ra Reference Number Qualifier: ST, Store Number Reference Number: 06 REF*DP*148 n/l Rb Reference Number Qualifier: DP, Department Number Reference Number: 148 DTM*321*941220 n/l P Date/Time Qualifier: 321, Purchased Date: 941220 SAC*C*D340***9.06 n/l T Allowance or Charge Indicator: C, Charge Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges Amount: $9.06 IT1*5 n/l Assigned Identification: 5 PID*F****PAYMENT RECEIVED- THANK YOU n/l X Item Description Type: F, Free Form Description: PAYMENT RECEIVED-THANK YOU REF*IX*021-0074 n/l V Reference Number Qualifier: IX, Item Number Reference Number: 021-0074 REF*ST*98 n/l Wa Reference Number Qualifier: ST, Store Number Reference Number: 98 REF*DP*999 n/l Wb Reference Number Qualifier: DP, Department Number Reference Number: 999 DTM*050*941224 n/l U Date/Time Qualifier: 050, Received Date Date: 941224 SAC*A*I710***-195.66 n/l Z Allowance or Charge Indicator: A, Allowance JUNE 1996 VERSION 1.0 810 ù 2-5

VERSION 003 ù RELEASE 061 810ù 2 - MAPPING EXAMPLES ASC X12 FINANCE SUBCOMMITTEE Segment Contents Ref. Element Descriptions Y Service, Promotion, Allowance or Charge Indicator: I710, Payment Amount: $195.66 Table 3 Segment Contents Ref. Element Descriptions TDS*7462 n/l 20 Total Invoice Amount: $74.62 CTT*5 n/l Number of Line Items: 5 SE*0001*68 n/l Control Number: 0001 Number of Segments: 68 810 ù 2-6 VERSION 1.0 JUNE 1996

810 ù 2 - MAPPING EXAMPLES 2.2 Example 2 - Cable Invoice from a Biller Example 2 - Business Scenario ABC Company is a large cable biller. 123 Easy Pay is a Consumer Service Provider (CSP) which provides consumers and small businesses with bill payment services using PC software, including electronic invoicing and payments with large billers. 123 Easy Pay has four customers, Joe Doe, Mary Q. Smith, Sue Parks & Fred Jones. Example 2 - Transaction Scenario ABC Company delivers a retail invoice to Mary Q. Smith through 123 Easy Pay. Biller 810 CSP Consumer ABC Company 123 Easy Pay Joe, Mary, Sue, Fred Example 2 - Transaction Participant Information Biller Name: ABC Company ID: 999999999 CSP Name: 123 Easy Pay ID: 123000000 Consumers Name: Mary Q. Smith ID: 123-SMITH Example 2 - Transaction Payment Information See Sample invoice on next page JUNE 1996 VERSION 1.0 810 ù 2-7

VERSION 003 ù RELEASE 061 810ù 2 - MAPPING EXAMPLES ASC X12 FINANCE SUBCOMMITTEE Example 2 - Cable Invoice ABC CABLEVISION 11 DUE DATE AMOUNT DUE OF MISSOURI 01/10/95 47.57 4160 OLD MILL PARKWAY 12 4 31 ST PETERS MO 63376 13-15 Please Indicate Amount enclosed PLEASE RETURN THIS TOP PORTION ONLY, WITH REMITTANCE TO: 16 ABC NORTH CENTRAL INC 45 6263 CP 1 B 29 A 84980 *CR 58 17 PO BOX 27-0711 6 MARY Q. SMITH 18-19 KANSAS CITY MO 7 7 MAPLE CT 20 64180-0711 8-9 SAINT CHARLES MO 10 63303-3156 189999 507423 01 4 3 004757 --------------------------------------------------------------------------------------------- ABC CABLEVISION ACCOUNT NUMBER BILLED BILLED TO DUE DATE INCLUDES OF FROM PAYMENTS ST. PETERS, MO. RECEIVED BY 189999-507423-01-4 01/01/95 01/31/95 01/10/95 12/20/94 21 1 2 3 4 5 THE HOURLY SERVICE CHARGE IS $33.54. 41 FOR- 7 MAPLE CT 40 THE TRUE REGULATED FCC BILLING RATE 42 11/30 BEGINNING BALANCE 47.60 43 IS $9.22 FOR BASIC AND $10.20 FOR EXPANDED BASIC. THIS RATE SHOULD HAVE 12/12 A PAYMENT B 47.60- C BEEN EFFECTIVE OCTOBER 1, 1994. IF A 12/20 D RATE CODE ADJ E.03- F REFUND IS APPLICABLE, IT WILL APPEAR 01/01-01/31 G BASIC SERVICE H 9.22 I AS A CREDIT ADJUSTMENT ON YOUR 01/01-01/31 J EXPANDED BASIC K 10.20 L JANUARY STATEMENT. 01/01-01/31 M STARTER PACKAGE N 12.60 O 01/01-01/31 P HBO-STZ-ENC-GUIDE Q 11.90 R YOUR PACKAGE INCLUDES HBO STARZ, ENCORE AND THE GUIDE 01/01-01/31 T ADDRESSABLE/CONV U 2.04 V 01/01-01/31 W SALES TAX X.22 Y 01/01-01/31 Z FRANCHISE TAX Aa 1.39 Ab 01/01-01/31 Ac REGULATORY FEE Ad.03 Ae 12/31 BALANCE MONTH END 47.57 44 JAN 01 THRU JAN 31, 1995 --------------------------------------------------------------------------------------------- FRANCHISE AUTHORITY 32 FEDERAL COMMUNICATIONS COMMISSION 24 CITY ADMINISTRATOR 33 CABLE SERVICES BUREAU 25 CITY OF ST. CHARLES 34 CONSUMER PROTECTION DIVISION 26 200 NORTH SECOND ST 35 1919 M STREET N.W. 27-29 ST. CHARLES, MO 63301 36-38 WASHINGTON, D.C. 20554 30 314-949-3288 39 202-416-0856 FCC COMMUNITY UNIT #M00157 FOR PROMPT RESPONSE TO YOUR SERVICE AND BILLING PROBLEMS, PLEASE CALL THE CABLE OFFICE AT 441-7737 OR 279-1222. 22 23 810 ù 2-8 VERSION 1.0 JUNE 1996

810ù 2- MAPPING EXAMPLES Table1 Segment Contents Ref. Element Descriptions ST*810*0002 n/l Transaction Set ID: 810 Control Number: 0002 BIG*941220*189999-507423-01-4 1295*****DI n/l 5 1&5 REF*12*189999-507423-01-4 n/l 1 REF*DD*6263 CP 1 B 29 A 84980 CR58 n/l 45 N1*SE*ABC CABLEVISION OF MISSOURI*1*999999999 n/l 12 Invoice Date: 941220 Invoice Number: 189999-507423-01-4 1295 Transaction Type: DI, Debit Invoice Reference Number Qualifier: 12, Billing Account Reference Number: 189999-507423-01-4 Reference Number Qualifier: DD, Document ID Reference Number: 6263 CP 1 B 29 A 84980 CR 58 Entity Identifier : SE, Selling Party follows Name: ABC CABLEVISION OF MISSOURI Identification Qualifier: 1, DUNS number follows Identification : 999999999 N3*4160 OLD MILL PARKWAY n/l 12 Address: 4160 OLD MILL PARKWAY N4*ST PETERS*MO*633376 n/l 13 14 15 City: ST PETERS State: MO Postal : 633376 N1*PE*ABC NORTH CENTRAL INC n/l 16 Entity Identifier : PE, Payee Follows follows Name: ABC NORTH CENTRAL INC N3*PO BOX 27-0711 n/l 17 Address: PO BOX 27-0711 N4*KANSAS CITY*MO*641800711 n/l 18 19 20 N1*IL*ABC CABLEVISION OF ST. PETERS, MO n/l 21 PER*IC*SERVICE AND BILLING PROBLEMS*TE*3144417737 n/l 22a PER*IC*SERVICE AND BILLING PROBLEMS*TE*3142791222 n/l 22b 23a 23b N1*1K*CITY ADMINISTRATOR* 91*M00157 n/l 24 City: KANSAS CITY State: MO Postal : 641800711 Entity Identifier : IL, Franchisee follows Name: ABC CABLEVISION OF ST. PETERS, MO Contact Function : IC, Information Contact Name: SERVICE AND BILLING PROBLEMS Communication Number Qualifier: TE, Telephone Communication Number: 3144417737 Contact Function : IC, Information Contact Name: SERVICE AND BILLING PROBLEMS Communication Number Qualifier: TE, Telephone Communication Number: 3142791222 Entity Identifier : 1K, Franchisor follows Name: CITY ADMINISTRATOR Identification Qualifier: 91, Assigned by Seller or Seller s Agent Identification : M00157 N2*CITY OF ST CHARLES n/l 25 Additional Name: CITY OF ST CHARLES N3*200 NORTH SECOND ST n/l 26 Address: 200 NORTH SECOND ST N4*ST. CHARLES*MO*63301 n/l 27 28 29 City: ST. CHARLES State: MO Postal : 63301 PER*IC*INFORMATION CONTACT*TE*3149493288 n/l 30 N1*AG*FEDERAL COMMUNICATI ON COMMISSION n/l 32 N2*CABLE SERVICE BUREAU 33 *CONSUMER PROTECTION 34 DIVISION n/l Contact Function : IC, Information Contact Name: INFORMATION CONTACT Communication Number Qualifier: TE, Telephone Communication Number: 3149493288 Entity Identifier : AG, Agent/Agency follows Name: FEDERAL COMMUNICATI ON COMMISSION Additional Name: CABLE SERVICE BUREAU Additional Name: CONSUMER PROTECTION DIVISION JUNE 1996 VERSION 1.0 810 ù 2-9

VERSION 003 ù RELEASE 061 810ù 1 - OVERVIEW ASC X12 FINANCE SUBCOMMITTEE Segment Contents Ref. Element Descriptions N3*1919 M STREET N.W. n/l 35 Address: 1919 M STREET N.W. N4*WASHINGTON*DC*20554 n/l 36 37 38 City: WASHINGTON State: DC Postal : 20554 PER*IC*INFORMATION CONTACT*TE*2024160856 n/l 39 N1*BT*MARY Q. SMITH n/l 6 N3*7 MAPLE CT n/l 7 Address: 7 MAPLE CT N4*SAINT CHARLES*MO* City: SAINT CHARLES 633033156 n/l State: MO 8 9 10 Contact Function : IC, Information Contact Name: INFORMATION CONTACT Communication Number Qualifier: TE, Telephone Communication Number: 2024160856 Entity Identifier : BT, Bill To follows Name: MARY Q. SMITH Postal : 633033156 N1*BY*MARY Q. SMITH n/l Entity Identifier : BY, Buyer (Service Address) 6 Name: MARY Q. SMITH N3*7 MAPLE CT n/l 40 Address: 7 MAPLE CT N1*8S*123 EASY PAY* 1*123000000 n/l Entity Identifier : 8S, Consumer Service Provider, CSP follows Name: 123 EASY PAY Identification Qualifier: 1, DUNS Number follows Identification : 123000000 N3*1234 MAIN STREET n/l Address: 1234 MAIN STREET N4*COLUMBUS*OH*430173221 City: COLUMBUS n/l State: OH Postal : 430173221 PER*IC*CUSTOMER INFORMATION* TE*6147911234 n/l ITD*18*****950110 n/l DTM*186*950101 n/l DTM*186*950131 n/l DTM*146*941220 n/l PID*X**AS*S1*THE HOURLY SERVICE CHARGE IS $33.54. n/l PID*X**AS*R1*THE TRUE REGULATED FCC BILLING RATE IS $9.22 FOR BASIC AND $10.20 FOR EXPANDED BASIC. n/l PID*X**AS*R2*THIS RATE SHOULD HAVE BEEN EFFECTIVE OCTOBER 1, 1994. 4 2 3 5 41 42a Contact Function : IC, Information Contact Name: CUSTOMER INFORMATION Communication Number Qualifier: TE, Telephone Communication Number: 6147911234 Terms Type : 18, Fixed Date, Late Payment Penalty Applies Terms Net Due Date: 950110 Date/Time Qualifier: 186, Invoice Period Start Date: 950101 Date/Time Qualifier: 187, Invoice Period End Date: 950131 Date/Time Qualifier: 146, Closing Date Date: 941220 Item Description Type: X, Semi-Structured Agency Qualifier : AS, Assigned by Seller Product Description : S1, Statement Msg, Line 1 Description: THE HOURLY SERVICE CHARGE IS $33.54. Item Description Type: X, Semi-Structured Agency Qualifier : AS, Assigned by Seller Product Description : R1, Rate Message, Line 1 Description: THE TRUE REGULATED FCC BILLING RATE IS $9.22 FOR BASIC AND $10.20 FOR EXPANDED BASIC. Item Description Type: X, Semi-Structured Agency Qualifier : AS, Assigned by Seller Product Description : R2, Rate Message, Line 2 810 ù 2-10 VERSION 1.0 JUNE 1996

810ù 2- MAPPING EXAMPLES Segment Contents Ref. Element Descriptions n/l 42b Description: THIS RATE SHOULD HAVE BEEN EFFECTIVE OCTOBER 1, 1994. PID*X**AS*R3*IF A REFUND IS APPLICABLE, IT WILL APPEAR AS A CREDIT ADJUSTMENT ON YOUR JANUARY BILL. n/l BAL*P*BD*47.60 n/l BAL*M*BD*47.57 n/l 42c 43 44 Item Description Type: X, Semi-Structured Agency Qualifier : AS, Assigned by Seller Product Description : R3, Rate Message, Line 3 Description: IF A REFUND IS APPLICABLE, IT WILL APPEAR AS A CREDIT ADJUSTMENT ON YOUR JANUARY BILL. Balance Type : P, Previous Month Amount Qualifier : BD, Balance Due Monetary Amount: $47.60 Balance Type : M, Current Month Amount Qualifier : BD, Balance Due Monetary Amount: $47.57 Table 2 Segment Contents Ref. Element Descriptions IT1*1 n/l Assigned Identification: 1 PID*F****PAYMENT n/l B Item Description Type: F, Free Form Description: PAYMENT DTM*050*941212 n/l A Date/Time Qualifier: 050, Received Date Date: 941212 SAC*A*I710***-4760 n/l C Allowance or Charge Indicator: A, Allowance Service, Promotion, Allowance or Charge Indicator: I710, Payment Amount: $47.60 IT1*2 n/l Assigned Identification: 2 PID*F****RATE CODE ADJ n/l E Item Description Type: F, Free Form Description: RATE CODE ADJ DTM*097*941220 n/l D Date/Time Qualifier: 097, Transaction Create Date Date: 941220 SAC*A*A170***-03 n/l F Allowance or Charge Indicator: A, Allowance Service, Promotion, Allowance or Charge Indicator: A170, Adjustment Amount: $-0.03 IT1*3 n/l Assigned Identification: 3 PID*F****BASIC SERVICE n/l H Item Description Type: F, Free Form Description: BASIC SERVICE DTM*150*950101 n/l G1 Date/Time Qualifier: 150, Service Period Start Date: 950101 DTM*151*950131 n/l G2 Date/Time Qualifier: 151, Service Period End Date: 950131 SAC*C*D340***922 n/l I Allowance or Charge Indicator: C, Charge Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges Amount: $9.22 IT1*4 n/l Assigned Identification: 4 PID*F****EXPANDED BASIC n/l K Item Description Type: F, Free Form Description: EXPANDED BASIC DTM*150*950101 n/l J1 Date/Time Qualifier: 150, Service Period Start Date: 950101 DTM*151*950131 n/l J2 Date/Time Qualifier: 151, Service Period End Date: 950131 JUNE 1996 VERSION 1.0 810 ù 2-11

VERSION 003 ù RELEASE 061 810ù 1 - OVERVIEW ASC X12 FINANCE SUBCOMMITTEE Segment Contents Ref. Element Descriptions SAC*C*D340***1020 n/l L Allowance or Charge Indicator: C, Charge Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges Amount: $10.20 IT1*5 n/l Assigned Identification: 5 PID*F****STARTER PACKAGE n/l N Item Description Type: F, Free Form Description: STARTER PACKAGE DTM*150*950101 n/l M1 Date/Time Qualifier: 150, Service Period Start Date: 950101 DTM*151*950131 n/l M2 Date/Time Qualifier: 151, Service Period End Date: 950131 SAC*C*D340***1260 n/l O Allowance or Charge Indicator: C, Charge Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges Amount: $12.60 IT1*6 n/l Assigned Identification: 6 PID*F****HBO-STZ-ENC-GUIDE n/l Q Item Description Type: F, Free Form Description: HBO-STZ-ENC-GUIDE PID*F****YOUR PACKAGE INCLUDES HBO STARZ ENCORE AND THE GUIDE n/l S Item Description Type: F, Free Form Description: YOUR PACKAGE INCLUDES HBO STARZ ENCORE AND THE GUIDE DTM*150*950101 n/l P1 Date/Time Qualifier: 150, Service Period Start Date: 950101 DTM*151*950131 n/l P2 Date/Time Qualifier: 151, Service Period End Date: 950131 SAC*C*D340***1190 n/l R Allowance or Charge Indicator: C, Charge Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges Amount: $11.90 IT1*7 n/l Assigned Identification: 7 PID*F****ADDRESSABLE/CONV n/l U Item Description Type: F, Free Form Description: ADDRESSABLE/CONV DTM*150*950101 n/l T1 Date/Time Qualifier: 150, Service Period Start Date: 950101 DTM*151*950131 n/l T2 Date/Time Qualifier: 151, Service Period End Date: 950131 SAC*C*D340***204 n/l V Allowance or Charge Indicator: C, Charge Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges Amount: $2.04 IT1*8 n/l Assigned Identification: 8 PID*F****SALES TAX n/l X Item Description Type: F, Free Form Description: SALES TAX DTM*150*950101 n/l W1 Date/Time Qualifier: 150, Service Period Start Date: 950101 DTM*151*950131 n/l W2 Date/Time Qualifier: 151, Service Period End Date: 950131 TXI*ST*.22 n/l Y Tax Type : ST, State Sales Tax Monetary Amount: $0.22 IT1*9 n/l Assigned Identification: 9 PID*F****FRANCHISE TAX n/l Aa Item Description Type: F, Free Form Description: FRANCHISE TAX DTM*150*950101 n/l Date/Time Qualifier: 150, Service Period Start 810 ù 2-12 VERSION 1.0 JUNE 1996

810ù 2- MAPPING EXAMPLES Segment Contents Ref. Element Descriptions Z1 Date: 950101 DTM*151*950131 n/l Z2 Date/Time Qualifier: 151, Service Period End Date: 950131 TXI*FR*1.39 n/l Ab Tax Type : FR, Franchise Tax Monetary Amount: $1.39 IT1*10 n/l Assigned Identification: 10 PID*F****REGULATORY FEE n/l Ad Item Description Type: F, Free Form Description: REGULATORY FEE DTM*150*950101 n/l Ac1 Date/Time Qualifier: 150, Service Period Start Date: 950101 DTM*151*950131 n/l Ac2 Date/Time Qualifier: 151, Service Period End Date: 950131 TXI*UL*.03 n/l Ae Tax Type : UL, License Tax Monetary Amount: $0.03 Table 3 Segment Contents Ref. Element Descriptions TDS*4757 n/l 31 Total Invoice Amount: $47.57 CTT*10 n/l Number of Line Items: 10 SE*0002*94 n/l Control Number: 0002 Number of Segments: 94 JUNE 1996 VERSION 1.0 810 ù 2-13

VERSION 003 ù RELEASE 061 810ù 1 - OVERVIEW ASC X12 FINANCE SUBCOMMITTEE This Page Intentionally Blank 810 ù 2-14 VERSION 1.0 JUNE 1996

810 ù 3 - CROSS REFERENCE 810 Invoice 3. Cross Reference The transaction set cross reference is a mapping aid. The cross reference can be used to map or to find the location of data (data items) within the 810 transaction set. The report column heading are explained below: Column Column Name Column Description Data Item Data Item Name Name of data. Use Use Sequential number identifying multiple uses or locations for the data item. Type of Data Type of Data Valid values for the column are: Qualifier or Data. Mapping a data item may require one or more qualifiers to be used to identify the data item. Therefore, the Qualifier(s) and Data item locations are both listed. The location of the qualifiers are listed before the location of the data item. TS ID Transaction Set ID Transaction set ID or number, such as: 810, 814, or 820. TS Tbl Transaction Set Table Transaction set table or area within the transaction set. Valid Values for this column are: 1 -Header/ Heading, 2 -Detail, or 3 -Summary. Seg Pos Segment Position The segment location within the transaction set table or area. Loop ID Comment Loop ID Comment The loop qualifier or position within the transaction set table or area. Loops can occur multiple times within a mapped transaction set. Each loop occurrence is identified by the segment that starts the loop. The loops are uniquely identified by a qualifier that is specified within the first segment of the loop. For example, N1/Seller (SE) is the N1 loop for the Seller that is qualified by the SE qualifier in the N1 segment. Seg ID Segment ID The two or three character segment identifier. DE Pos Data Element Position The position of the data element within the specified segment. DE Nbr Data Element Number The data element number that occurs at the specified data element position. DE Name Data Element Name The data element name that occurs at the specified data element position. DE Val Data Element Value The data element value to be used to qualify the data element when the Type of Data column is Qualifier. When the small letter x is listed, the Comments column will refer to additional values to be used. Comment Comment Comments which expand the definition of a data element value column or give additional information on the data element value. JUNE 1996 VERSION 1.0 810 ù 3-1

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE 810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment Account Number 1 Qualifier 810 1 050 REF 01 128 Reference Number 11 Account Number Qualifier 1 Data 810 1 050 REF 02 127 Reference Number Account Number Change Message 1 Qualifier 810 1 050 REF 01 128 Reference Number 45 Old Account Number Qualifier 1 Data 810 1 050 REF 02 127 Reference Number Account Type 1 Qualifier 810 1 050 REF 01 128 Reference Number 9X Account Category Qualifier 1 Data 810 1 050 REF 02 127 Reference Number Activity Date 1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 945 Activity, Same as Item (Transaction) Date 1 Data 810 2 150 DTM 02 373 Date Adjustment Amount 1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, A17 Adjustment Allow., or Chrg 1 Data 810 2 180 SAC 05 610 Amount Allowance Amount 1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge A Allowance Indicator 1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service, Allow., or Chrg Promotion,Allowance or Charge, See DE 1300 s 1 Data 810 2 180 SAC 05 610 Amount Amount Due by Installment Period 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier IN Installment Amount 1 Data 810 1 212 BAL 03 782 Monetary Amount Amount Paid 1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge A Allowance Indicator 1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service, Allow., or Chrg Promotion,Allowance or Charge, See DE 1300 s 1 Data 810 2 180 SAC 05 610 Amount Auto/Debit Withdrawal 1 Qualifier 810 1 160 PID 01 349 Item Description F Free Form Message Type 1 Data 810 1 160 PID 05 352 Description Put Indicator in message Balance Subject to Charge 1 Qualifier 810 3 040 SAC 09 355 Unit or Basis for DO Dollars Measurement 1 Data 810 3 040 SAC 10 339 Allowance or Charge Quantity Bill Owner Type 1 Data 810 2 291 N1/Vendor (VN) DMG 05 1109 Race or Ethnicity 810 ù 3-2 VERSION 1.0 JUNE 1996

810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment 1 Data 810 1 121 N1/Seller (SE) DMG 05 1109 Race or Ethnicity Biller Address 1 Data 810 1 090 N1/Seller (SE) N3 01 166 Address Information Also N302 1 Data 810 1 090 N1/Seller (SE) N3 02 166 Address Information Also N301 Biller City 1 Data 810 1 100 N1/Seller (SE) N4 01 19 City Name Biller Country 1 Data 810 1 100 N1/Seller (SE) N4 04 26 Country Biller Duns ID 1 Qualifier 810 1 070 N1/Seller (SE) N1 01 98 Entity Identifier SE Seller (Biller) 1 Qualifier 810 1 070 N1/Seller (SE) N1 03 66 Identification 1 DUNS Number Qualifier (Universal ID) 1 Data 810 1 070 N1/Seller (SE) N1 04 67 Identification Biller ID 1 Qualifier 810 1 070 N1/Seller (SE) N1 01 98 Entity Identifier SE Seller (Biller) 1 Qualifier 810 1 070 N1/Seller (SE) N1 03 66 Identification 1 DUNS Number Qualifier (Universal ID) 1 Data 810 1 070 N1/Seller (SE) N1 04 67 Identification Biller Name 1 Qualifier 810 1 070 N1/Seller (SE) N1 01 98 Entity Identifier SE Seller (Biller) 1 Data 810 1 070 N1/Seller (SE) N1 02 93 Name Biller Phone Number 1 Qualifier 810 1 120 N1/Seller (SE) PER 03 365 Communication TE Telephone Number Qualifier 1 Data 810 1 120 N1/Seller (SE) PER 04 364 Communication Number Biller Phone Number Type 1 Data 810 1 120 N1/Seller (SE) PER 01 366 Contact Function IC Information Contact Biller Standard Industry 1 Qualifier 810 2 120 REF 01 128 Reference Number IJ Standard Industrial Qualifier Classification (SIC) 1 Data 810 2 120 REF 02 127 Reference Number Biller State 1 Data 810 1 100 N1/Seller (SE) N4 02 156 State or Province Biller Tax ID (TIN) 1 Qualifier 810 1 110 N1/Seller (SE) REF 01 128 Reference Number SY Social Security Qualifier Number 1 Data 810 1 110 N1/Seller (SE) REF 02 127 Reference Number Biller Zip/Postal 1 Data 810 1 100 N1/Seller (SE) N4 03 116 Postal Billing Account Number 1 Qualifier 810 1 050 REF 01 128 Reference Number 12 Billing Account Qualifier Number 1 Data 810 1 050 REF 02 127 Reference Number JUNE 1996 VERSION 1.0 810 ù 3-3

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE 810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment Billing Date 1 Data 810 1 020 BIG 01 245 Invoice Date Same as Invoice Date Billing Delayed Message 1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'B', Billing message Billing Location ID 1 Qualifier 810 1 110 N1/Seller (SE) REF 01 128 Reference Number BF Billing Center Qualifier Identification 1 Data 810 1 110 N1/Seller (SE) REF 02 127 Reference Number Billing Period-From Date 1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 186 Invoice Period-Start 1 Data 810 1 140 DTM 02 373 Date Billing Period-To Date 1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 187 Invoice Period-End 1 Data 810 1 140 DTM 02 373 Date Charge Amount 1 Data 810 2 180 SAC 05 610 Amount Charge Type 1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge C Charge Indicator 1 Data 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service, Allow., or Chrg Promotion,Allowance or Charge, See DE 1300 s Closing Date (Incl Activity Through) 1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 146 Closing Date 1 Data 810 1 140 DTM 02 373 Date Consumer Identifier 1 Qualifier 810 1 110 N1/Customer(8R/BT) REF 01 128 Reference Number 5E Consumer Identifier Qualifier 1 Data 810 1 110 N1/Customer(8R/BT) REF 02 127 Reference Number Control Number 1 Qualifier 810 1 050 REF 01 128 Reference Number BT Batch Number Qualifier 1 Data 810 1 050 REF 02 127 Reference Number Cost Center 1 Qualifier 810 2 120 REF 01 128 Reference Number CA Cost Allocation Qualifier Reference 1 Data 810 2 120 REF 02 127 Reference Number Credit Amount 1 Data 810 2 180 SAC 05 610 Amount Credit Available 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GR Credit Line Available, Same as Credit Line Amount Available 1 Data 810 1 212 BAL 03 782 Monetary Amount 810 ù 3-4 VERSION 1.0 JUNE 1996

810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment Credit Line Amount 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GO Credit Line 1 Data 810 1 212 BAL 03 782 Monetary Amount Credit Line Amount Available 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GR Credit Line Available, Same Credit Available 1 Data 810 1 212 BAL 03 782 Monetary Amount Credit Line Type 1 Qualifier 810 1 050 REF 01 128 Reference Number 5D Line of Credit Qualifier Category 1 Data 810 1 050 REF 02 127 Reference Number Credit Type 1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge x xx = A-Allowance, Indicator C-Charge, N-Neither 1 Data 810 2 180 SAC 02 1300 Service, Promotion, B80 Credit Allow., or Chrg CSP Address 1 Data 810 1 090 N1/CSP(8S) N3 01 166 Address Information Also N302 1 Data 810 1 090 N1/CSP(8S) N3 02 166 Address Information Also N301 CSP City 1 Data 810 1 100 N1/CSP(8S) N4 01 19 City Name CSP Name 1 Qualifier 810 1 070 N1/CSP(8S) N1 01 98 Entity Identifier 8S Consumer Service Provider (CSP) 1 Data 810 1 070 N1/CSP(8S) N1 02 93 Name CSP Phone Number 1 Qualifier 810 1 120 N1/CSP(8S) PER 01 366 Contact Function IC Information Contact 1 Qualifier 810 1 120 N1/CSP(8S) PER 03 365 Communication TE Telephone Number Qualifier 1 Data 810 1 120 N1/CSP(8S) PER 04 364 Communication Number CSP State 1 Data 810 1 100 N1/CSP(8S) N4 02 156 State or Province CSP ZIP/Postal 1 Data 810 1 100 N1/CSP(8S) N4 03 116 Postal Currency Type 1 Qualifier 810 1 040 CUR 01 98 Entity Identifier VN Vendor 1 Data 810 1 040 CUR 02 100 Currency xx xx = MXP-Mexican Pesos, CAD-Canadian Dollar, USD-United States Dollar Current Amount Due (Current Balance) 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier PB Billed Amount (Amount due for period bill) JUNE 1996 VERSION 1.0 810 ù 3-5

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE 810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment 1 Data 810 1 212 BAL 03 782 Monetary Amount Current Period Energy Use 1 Qualifier 810 2 055 PAM 01 673 Quantity Qualifier UU Used Quantity, Specify time period in PAM06-PAM11) 1 Qualifier 810 2 055 PAM 03 355 Unit or Basis for xx xx Unit of Measure Measurement or Basis, DE 355, Such as, K7-Killowatts 1 Data 810 2 055 PAM 02 380 Quantity 1 Data 810 2 055 PAM 06 344 Unit of Time Period xx xx = DA-Day, or Interval MO-Month, HR-Hours 1 Data 810 2 055 PAM 07 374 Date/Time Qualifier 193 Period Start Date 1 Data 810 2 055 PAM 08 373 Date Period Start Date 1 Data 810 2 055 PAM 10 374 Date/Time Qualifier 194 Period End Date 1 Data 810 2 055 PAM 11 373 Date Period End Date Customer Address 1 Data 810 1 090 N1/Customer(8R/BT) N3 01 166 Address Information Also N302 1 Data 810 1 090 N1/Customer(8R/BT) N3 02 166 Address Information Also N301 Customer Alternate Phone Number 1 Qualifier 810 1 120 N1/Customer(8R/BT) PER 01 366 Contact Function AL Alternate Contact 1 Qualifier 810 1 120 N1/Customer(8R/BT) PER 03 365 Communication TE Telephone Number Qualifier 1 Data 810 1 120 N1/Customer(8R/BT) PER 04 364 Communication Number Customer City 1 Data 810 1 100 N1/Customer(8R/BT) N4 01 19 City Name Customer Country 1 Data 810 1 100 N1/Customer(8R/BT) N4 04 26 Country Customer Duns ID 1 Data 810 1 070 N1/Customer(8R/BT) N1 04 67 Identification Customer ID 1 Qualifier 810 1 070 N1/Customer(8R/BT) N1 01 98 Entity Identifier 8R/ Consumer Service BT Provider (CSP) Customer or Bill To (Customer) 1 Data 810 1 070 N1/Customer(8R/BT) N1 04 67 Identification Customer Name 1 Qualifier 810 1 070 N1/Customer(8R/BT) N1 01 98 Entity Identifier 8R/ Consumer Service BT Provider (CSP) Customer or Bill To (Customer) 1 Data 810 1 070 N1/Customer(8R/BT) N1 02 93 Name 2 Qualifier 810 1 070 N1/Buyer (BY) N1 01 98 Entity Identifier BY Buyer 2 Data 810 1 070 N1/Buyer (BY) N1 02 93 Name 3 Qualifier 810 1 070 N1/Property (PP) N1 01 98 Entity Identifier PP Property 3 Data 810 1 070 N1/Property (PP) N1 02 93 Name 4 Qualifier 810 1 070 N1/Meter (MQ) N1 01 98 Entity Identifier MQ Meter Location 4 Data 810 1 070 N1/Meter (MQ) N1 02 93 Name Customer Phone Number 1 Qualifier 810 1 120 N1/Customer(8R/BT) PER 01 366 Contact Function IC Information Contact 810 ù 3-6 VERSION 1.0 JUNE 1996

810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment 1 Qualifier 810 1 120 N1/Customer(8R/BT) PER 03 365 Communication TE Telephone Number Qualifier 1 Data 810 1 120 N1/Customer(8R/BT) PER 04 364 Communication Number Customer State 1 Data 810 1 100 N1/Customer(8R/BT) N4 02 156 State or Province Customer Tax ID (TIN) 1 Qualifier 810 1 110 N1/Customer(8R/BT) REF 01 128 Reference Number TJ Federal Tax ID Qualifier Number (TIN) 1 Data 810 1 110 N1/Customer(8R/BT) REF 02 127 Reference Number Customer Zip/Postal 1 Data 810 1 100 N1/Customer(8R/BT) N4 03 116 Postal Daily Periodic Rate 1 Qualifier 810 3 040 SAC 01 248 Allowance or Charge C Charge Indicator 1 Qualifier 810 3 040 SAC 02 1300 Service, Promotion, D04 Finance Charge Allow., or Chrg 1 Data 810 3 040 SAC 07 332 Allowance or Charge Percent Delinquent After Date 1 Qualifier 810 1 130 ITD 01 336 Terms Type xx xx Same as Payment Due Date s 1 Data 810 1 130 ITD 06 446 Terms Net Due Date Detail Message 1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'D ', Detail message Escrow Amount 1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge C Charge Indicator 1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, I70 Escrow Amount Allow., or Chrg 1 Data 810 2 180 SAC 05 610 Amount Escrow Balance 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier DG Escrow Balance 1 Data 810 1 212 BAL 03 782 Monetary Amount Fee Amount 1 Data 810 2 180 SAC 05 610 Amount Fee Type 1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge x xx = A-Allowance, Indicator C-Charge, N-Neither 1 Data 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service, Allow., or Chrg Promotion,Allowance or Charge, See DE 1300 s Finance Charge 1 Data 810 2 180 SAC 05 610 Amount Finance Charge Annual Rate JUNE 1996 VERSION 1.0 810 ù 3-7

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE 810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment 1 Data 810 2 180 SAC 08 359 Allowance or Charge Rate Finance Charge Monthly/Periodic Rate 1 Qualifier 810 3 040 SAC 01 248 Allowance or Charge C Charge Indicator 1 Qualifier 810 3 040 SAC 02 1300 Service, Promotion, D04 Finance Charge Allow., or Chrg 1 Data 810 3 040 SAC 05 610 Amount Finance Charge Type 1 Qualifier 810 3 040 SAC 01 248 Allowance or Charge C Charge Indicator 1 Qualifier 810 3 040 SAC 02 1300 Service, Promotion, D04 Finance Charge Allow., or Chrg 1 Data 810 3 040 SAC 14 770 Option Number Finance Charge YTD 1 Qualifier 810 1 212 BAL 01 951 Balance Type Y Year to Date 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GZ Total Finance Charge (use with "YTD" BAL01) 1 Data 810 1 212 BAL 03 782 Monetary Amount Franchise Authority Message 1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'F ', Franchise message Free Form Message 1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'X', Free-Form message Gross Receipts Tax 1 Qualifier 810 2 040 TXI 01 963 Tax Type GR Gross Receipts Tax 1 Data 810 2 040 TXI 02 782 Monetary Amount 2 Qualifier 810 2 190 TXI 01 963 Tax Type GR Gross Receipts Tax 2 Data 810 2 190 TXI 02 782 Monetary Amount Invoice Date 1 Data 810 1 020 BIG 01 245 Invoice Date Invoice Number 1 Data 810 1 020 BIG 02 76 Invoice Number Invoice Type 1 Data 810 1 020 BIG 07 640 Transaction Type xx xx = CN-Credit Invoice, DI-Debit Invoice, FB-Final Bill Item (Transaction) Date 1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 945 Activity, Same as Activity Date 1 Data 810 2 150 DTM 02 373 Date Item Amount 1 Qualifier 810 2 010 IT1 03 355 Unit or Basis for EA/ Each/Unit Measurement 1 Data 810 2 010 IT1 04 212 Unit Price Item Currency Conversion Rate 810 ù 3-8 VERSION 1.0 JUNE 1996

810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment 1 Data 810 2 020 CUR 03 280 Exchange Rate Item Currency Type 1 Qualifier 810 2 020 CUR 01 98 Entity Identifier VN Vendor 1 Data 810 2 020 CUR 02 100 Currency xx xx = MXP-Mexican Pesos, CAD-Canadian Dollar, USD-United States Dollar Item Date of Charge 1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 050 Received 1 Data 810 2 150 DTM 02 373 Date Item Description 1 Qualifier 810 2 060 PID 01 349 Item Description F Free-Form Message Type 1 Data 810 2 060 PID 05 352 Description Item Foreign Currency Amount 1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge xx xx = A-Allowance, Indicator C-Charge, N-Neither 1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service, Allow., or Chrg Promotion,Allowance or Charge, See DE 1300 s 1 Data 810 2 180 SAC 05 610 Amount Item Measure 1 Data 810 2 010 IT1 02 358 Quantity Invoiced Item Posting Date 1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 809 Posted 1 Data 810 2 150 DTM 02 373 Date Item Quantity Invoiced 1 Data 810 2 010 IT1 02 358 Quantity Invoiced Item Record of Charge ID 1 Qualifier 810 2 120 REF 01 128 Reference Number IV Seller's Invoice Qualifier Number 1 Data 810 2 120 REF 02 127 Reference Number Item Reference Number 1 Qualifier 810 2 120 REF 01 128 Reference Number IX Item Number Qualifier 1 Data 810 2 120 REF 02 127 Reference Number Item Seller/Merchant City 1 Data 810 2 270 N1/Vendor (VN) N4 01 19 City Name Item Seller/Merchant ID 1 Qualifier 810 2 280 N1/Vendor (VN) REF 01 128 Reference Number VR Vendor ID Number Qualifier 1 Data 810 2 280 N1/Vendor (VN) REF 02 127 Reference Number Item Seller/Merchant Name 1 Qualifier 810 2 240 N1/Vendor (VN) N1 01 98 Entity Identifier VN Vendor 1 Data 810 2 240 N1/Vendor (VN) N1 02 93 Name Item Seller/Merchant State 1 Data 810 2 270 N1/Vendor (VN) N4 02 156 State or Province JUNE 1996 VERSION 1.0 810 ù 3-9

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE 810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment Item Sequence Number 1 Data 810 2 010 IT1 01 350 Assigned Identification Item Service Period- From Date 1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 150 Service Period-Start 1 Data 810 2 150 DTM 02 373 Date Item Service Period- To Date 1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 151 Service Period-End 1 Data 810 2 150 DTM 02 373 Date Item SIC 1 Qualifier 810 2 120 REF 01 128 Reference Number IJ Standard Industrial Qualifier Classification (SIC) 1 Data 810 2 120 REF 02 127 Reference Number Item Store Number 1 Qualifier 810 2 120 REF 01 128 Reference Number ST Store Number Qualifier 1 Data 810 2 120 REF 02 127 Reference Number Item Tip/Gratuity 1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge xx xx = A-Allowance, Indicator C-Charge, N-Neither 1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, I69 Gratuity Allow., or Chrg 1 Data 810 2 180 SAC 05 610 Amount Item Unit 1 Data 810 2 010 IT1 03 355 Unit or Basis for xx xx Unit or Basis Measurement for Measure, See DE 355 s Joint Customer Name(s) 1 Data 810 1 080 N1/Customer(8R/BT) N2 01 93 Name Also N202 1 Data 810 1 080 N1/Customer(8R/BT) N2 01 93 Name Also N202 1 Data 810 1 080 N1/Customer(8R/BT) N2 02 93 Name Also N201 1 Data 810 1 080 N1/Customer(8R/BT) N2 02 93 Name Also N201 Last Period Energy Use 1 Qualifier 810 2 055 PAM 01 673 Quantity Qualifier UU Used Quantity, (Specify time period in PAM06-PAM11) 1 Qualifier 810 2 055 PAM 03 355 Unit or Basis for xx xx Unit of Measure Measurement or Basis, DE 355, Such as, K7-Killowatts 1 Data 810 2 055 PAM 02 380 Quantity 1 Data 810 2 055 PAM 06 344 Unit of Time Period xx xx = DA-Day, or Interval MO-Month, HR-Hours 1 Data 810 2 055 PAM 07 374 Date/Time Qualifier 193 Period Start Date 1 Data 810 2 055 PAM 08 373 Date Period Start Date 1 Data 810 2 055 PAM 10 374 Date/Time Qualifier 194 Period End Date 1 Data 810 2 055 PAM 11 373 Date Period End Date Late Message 1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'L', Late message Late Payment Charge 810 ù 3-10 VERSION 1.0 JUNE 1996

810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment 1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge C Charge Indicator 1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, E28 Late Payment Charge Allow., or Chrg 1 Data 810 2 180 SAC 05 610 Amount Mail by Date 1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 946 Mail by 1 Data 810 1 140 DTM 02 373 Date Master Number 1 Qualifier 810 1 050 REF 01 128 Reference Number 14 Master Number Qualifier 1 Data 810 1 050 REF 02 127 Reference Number Meter Change Message 1 Qualifier 810 2 120 REF 01 128 Reference Number 46 Old Meter Number Qualifier 1 Data 810 2 120 REF 03 352 Description Meter Location Address 1 Data 810 1 090 N1/Meter (MQ) N3 01 166 Address Information Also N302 1 Data 810 1 090 N1/Meter (MQ) N3 02 166 Address Information Also N301 Meter Location City 1 Data 810 1 100 N1/Meter (MQ) N4 01 19 City Name Meter Location State 1 Data 810 1 100 N1/Meter (MQ) N4 02 156 State or Province Meter Number 1 Qualifier 810 2 120 REF 01 128 Reference Number MG Meter Number Qualifier 1 Data 810 2 120 REF 02 127 Reference Number Minimum Amount Due (Minimum Payment) 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GT Minimum Due 1 Data 810 1 212 BAL 03 782 Monetary Amount Nbr Days Billed 1 Qualifier 810 2 055 PAM 01 673 Quantity Qualifier D1 Billed Quantity 1 Qualifier 810 2 055 PAM 03 355 Unit or Basis for DA Days Measurement 1 Data 810 2 055 PAM 02 380 Quantity Number of Days/Period 1 Qualifier 810 2 055 PAM 01 673 Quantity Qualifier 1K Time in units 1 Qualifier 810 2 055 PAM 03 355 Unit or Basis for DA Days Measurement 1 Data 810 2 055 PAM 02 380 Quantity Past Due Amount 1 Qualifier 810 1 212 BAL 01 951 Balance Type P Previous Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier PJ Past Due 1 Data 810 1 212 BAL 03 782 Monetary Amount Payment Amount 1 Data 810 2 180 SAC 05 610 Amount JUNE 1996 VERSION 1.0 810 ù 3-11

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE 810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment Payment Date (Initiated) 1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 948 Payment Initiated 1 Data 810 2 150 DTM 02 373 Date Payment Due Date 1 Qualifier 810 1 130 ITD 01 336 Terms Type xx xx = 18-Fixed Date with Penalty, 03-Fixed Date 1 Data 810 1 130 ITD 06 446 Terms Net Due Date Payment Effective Date 1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 949 Payment Effective 1 Data 810 2 150 DTM 02 373 Date Payment Location ID 1 Qualifier 810 1 110 N1/Seller (SE) REF 01 128 Reference Number 5T Payment Location Qualifier, Same as Remit To Location ID 1 Data 810 1 110 N1/Seller (SE) REF 02 127 Reference Number Payment Type 1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge A Allowance Indicator 1 Data 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service, Allow., or Chrg Promotion,Allowance or Charge, See DE 1300 s Percent Change Energy Use 1 Data 810 2 055 PAM 13 1004 Percent Qualifier CH Change 1 Data 810 2 055 PAM 14 954 Percent Present Reading 1 Data 810 2 059 MEA 05 740 Range Minimum Previous Amount Due (Prior Balance) 1 Qualifier 810 1 212 BAL 01 951 Balance Type P Previous Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier BD Balance Due 1 Data 810 1 212 BAL 03 782 Monetary Amount Previous Reading 1 Data 810 2 059 MEA 06 741 Range Maximum Price per Usage Unit 1 Data 810 2 010 IT1 04 212 Unit Price Principle Amount Due 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier PF Principle 1 Data 810 1 212 BAL 03 782 Monetary Amount Principle Balance 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier YB Actual Unpaid Principle Balance 1 Data 810 1 212 BAL 03 782 Monetary Amount Product Solicitation 1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'P', Product message Product Type 810 ù 3-12 VERSION 1.0 JUNE 1996

810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment 1 Qualifier 810 2 010 IT1 06 235 Product/Service ID SV Service Rendered Qualifier 1 Data 810 2 010 IT1 07 234 Product/Service ID xx xx = Utility Industry-"Appliance Recycled" Project Good Neighbor Donation 1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'G', Good Neighbor message Property Location Address 1 Data 810 1 090 N1/Property (PP) N3 01 166 Address Information Also N302 1 Data 810 1 090 N1/Property (PP) N3 02 166 Address Information Also N301 Property Location City 1 Data 810 1 100 N1/Property (PP) N4 01 19 City Name Property Location State 1 Data 810 1 100 N1/Property (PP) N4 02 156 State or Province Property Location Zip 1 Data 810 1 100 N1/Property (PP) N4 03 116 Postal Rate Change Message 1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'R', Rate Change message Rate 1 Qualifier 810 2 120 REF 01 128 Reference Number RB Rate Number Qualifier 1 Data 810 2 120 REF 02 127 Reference Number Read Type 1 Data 810 2 059 MEA 01 737 Measurement Reference ID Reading Units 1 Data 810 2 059 MEA 04 8801 Composite Unit of Measure Remit to Location ID 1 Qualifier 810 1 110 N1/Seller (SE) REF 01 128 Reference Number 5T Payment Location Qualifier, Same as Remit to Location ID 1 Data 810 1 110 N1/Seller (SE) REF 02 127 Reference Number Repayment Period 1 Qualifier 810 1 213 INC 01 336 Terms Type xx xx Terms Type, See DE 336 s 1 Qualifier 810 1 213 INC 02 355 Unit or Basis for xx xx = Measurement MO-Months, YR-Years, DA-Days 1 Data 810 1 213 INC 03 380 Quantity Service Location Address 1 Data 810 1 090 N1/Buyer (BY) N3 01 166 Address Information Also N302 1 Data 810 1 090 N1/Buyer (BY) N3 02 166 Address Information Also N301 Service Location City 1 Data 810 1 100 N1/Buyer (BY) N4 01 19 City Name Service Location State JUNE 1996 VERSION 1.0 810 ù 3-13

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE 810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment 1 Data 810 1 100 N1/Buyer (BY) N4 02 156 State or Province Service Period-From Date 1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 150 Service Period-Start 1 Data 810 1 140 DTM 02 373 Date Service Period-To Date 1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 151 Service Period-End 1 Data 810 1 140 DTM 02 373 Date Service Type 1 Qualifier 810 2 010 IT1 06 235 Product/Service ID SV Service Rendered Qualifier 1 Data 810 2 010 IT1 07 234 Product/Service ID xx xx = Service Description per industry codes Service Type 1 Qualifier 810 2 010 IT1 06 235 Product/Service ID SV Service Rendered Qualifier 1 Data 810 2 010 IT1 07 234 Product/Service ID xx xx = Service Description per industry codes State Tax 1 Qualifier 810 2 040 TXI 01 963 Tax Type ST State Sales Tax 1 Data 810 2 040 TXI 02 782 Monetary Amount 2 Qualifier 810 2 190 TXI 01 963 Tax Type ST State Sales Tax 2 Data 810 2 190 TXI 02 782 Monetary Amount Statement Message 1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'S', Statement message Supplemental Account Number 1 Qualifier 810 1 050 REF 01 128 Reference Number 5B Supplemental Qualifier Account Number 1 Data 810 1 050 REF 02 127 Reference Number Tax Amount 1 Data 810 2 040 TXI 02 782 Monetary Amount 2 Data 810 2 190 TXI 02 782 Monetary Amount Tax Jurisdiction 1 Qualifier 810 2 040 TXI 04 955 Tax Jurisdiction xx xx = CD-Customer Qualifier defined, VD-Vendor Defined, VE-Vertex 1 Data 810 2 040 TXI 05 956 Tax Jurisdiction Tax Rate Tax Type 2 Qualifier 810 2 190 TXI 04 955 Tax Jurisdiction xx xx = CD-Customer Qualifier defined, VD-Vendor Defined, VE-Vertex 2 Data 810 2 190 TXI 05 956 Tax Jurisdiction 1 Data 810 2 040 TXI 03 954 Percent 2 Data 810 2 190 TXI 03 954 Percent 1 Data 810 2 040 TXI 01 963 Tax Type xx xx Tax Type, See DE 963 s 810 ù 3-14 VERSION 1.0 JUNE 1996

810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment 2 Data 810 2 190 TXI 01 963 Tax Type xx xx Tax Type, See DE 963 s Taxes Paid YTD 1 Qualifier 810 1 212 BAL 01 951 Balance Type Y Year to Date 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GU Taxes Paid 1 Data 810 1 212 BAL 03 782 Monetary Amount Total Amount Due (New Balance) 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier BD Balance Due 1 Data 810 1 212 BAL 03 782 Monetary Amount Total Charges Amount 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GW Total Charge 1 Data 810 1 212 BAL 03 782 Monetary Amount Total Credit Amount 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GX Total Credit 1 Data 810 1 212 BAL 03 782 Monetary Amount Total Debit Amount 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GY Total Debit 1 Data 810 1 212 BAL 03 782 Monetary Amount Total Finance Charges 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GZ Total Finance Charge 1 Data 810 1 212 BAL 03 782 Monetary Amount Total Payment Amount 1 Qualifier 810 1 212 BAL 01 951 Balance Type M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier TP Total Payment Amount 1 Data 810 1 212 BAL 03 782 Monetary Amount Usage Amount 1 Data 810 2 010 IT1 02 358 Quantity Invoiced Usage Cost per day 1 Qualifier 810 2 055 PAM 04 522 Amount Qualifier DY Per Day Limit 1 Data 810 2 055 PAM 05 782 Monetary Amount Usage Rate 1 Qualifier 810 2 120 REF 01 128 Reference Number RB Rate Number Qualifier 1 Data 810 2 120 REF 02 127 Reference Number Usage Unit 1 Data 810 2 010 IT1 01 350 Assigned Identification Usage Unit Type 1 Data 810 2 010 IT1 03 355 Unit or Basis for xx xx Unit or Basis JUNE 1996 VERSION 1.0 810 ù 3-15

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE 810 ù 3 - CROSS REFERENCE Data Type of TS TS Seg Seg DE DE DE DE Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment Measurement for Measure, See DE 355 s 810 ù 3-16 VERSION 1.0 JUNE 1996

810 Invoice 4. Detail Layout Purpose and Scope This Draft Standard for Trial Use contains the format and establishes the data contents of the Invoice Transaction Set (810) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to provide for customary and established business and industry practice relative to the billing for goods and services provided. Functional Group - IN Areas (a) Data Segments that are not used are not listed or detailed in the document. (b) Data Elements that are mandatory are marked with 'M/U' for MUST USE in the far left-hand column. (c) Data Elements that are not used are marked with 'X' in far left-hand column. Heading (Table 1): Page Pos. Seg. Req. Loop Notes and No. No. ID Name Des. Max.Use Repeat Comments 4-3 010 ST Transaction Set Header M 1 4-4 020 BIG Beginning Segment for Invoice M 1 4-5 040 CUR Currency O 1 4-7 050 REF Reference Identification O 12 LOOP ID - N1 200 4-9 070 N1 Name O 1 4-10 080 N2 Additional Name Information O 2 4-11 090 N3 Address Information O 2 4-12 100 N4 Geographic Location O 1 4-13 110 REF Reference Identification O 12 4-14 120 PER Administrative Communications Contact O 3 4-15 125 DMG Demographic Information O 1 4-17 130 ITD Terms of Sale/Deferred Terms of Sale O >1 4-19 140 DTM Date/Time Reference O 10 4-20 160 PID Product/Item Description O 200 4-22 212 BAL Balance Detail O >1 4-23 213 INC Installment Information O 1 4-25 214 PAM Period Amount O >1 Detail (Table 2): Page Pos. Seg. Req. Loop Notes and No. No. ID Name Des. Max.Use Repeat Comments LOOP ID - IT1 200000 4-27 010 IT1 Baseline Item Data (Invoice) O 1 4-29 020 CUR Currency O 1 4-31 040 TXI Tax Information O 10 4-33 055 PAM Period Amount O 10 LOOP ID - PID 1000 4-36 060 PID Product/Item Description O 1 4-37 120 REF Reference Identification O >1 4-39 150 DTM Date/Time Reference O 10 LOOP ID - SAC 25 4-40 180 SAC Service, Promotion, Allowance, or Charge O 1 Information 4-42 190 TXI Tax Information O 10 LOOP ID - N1 200 4-44 240 N1 Name O 1 4-45 270 N4 Geographic Location O 1 4-46 280 REF Reference Identification O 12 4-47 295 DMG Demographic Information O 1 JUNE 1996 VERSION 1.0 810 ù 4-1

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Summary (Table 3): Page Pos. Seg. Req. Loop Notes and No. No. ID Name Des. Max.Use Repeat Comments 4-49 010 TDS Total Monetary Value Summary M 1 LOOP ID - SAC 25 4-50 040 SAC Service, Promotion, Allowance, or Charge O 1 Information 4-52 050 TXI Tax Information O 10 4-54 070 CTT Transaction Totals O 1 n1 4-55 080 SE Transaction Set Trailer M 1 Transaction Set Notes 1. Number of line items (CTT01) is the accumulation of the number of IT1 segments. If used, hash total (CTT02) is the sum of the value of quantities invoiced (IT102) for each IT1 segment. 810 ù 4-2 VERSION 1.0 JUNE 1996

Segment: ST Transaction Set Header Position: 010 Loop: Level: Heading Usage: Mandatory Max Use: 1 Purpose: To indicate the start of a transaction set and to assign a control number Syntax Notes: Semantic Notes: 1 The transaction set identifier (ST01) used by the translation routines of the interchange partners to select the appropriate transaction set definition (e.g., 810 selects the Invoice Transaction Set). Comments: Data Element Summary Ref. Data Des. Element Name Attributes M/U ST01 143 Transaction Set Identifier M ID 3/3 uniquely identifying a Transaction Set Valid Value(s): 810 X12.2 Invoice M/U ST02 329 Transaction Set Control Number M AN 4/9 Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set The transaction set control number is assigned by the originator and is unique. A unique number aids in error reconciliation and research. JUNE 1996 VERSION 1.0 810 ù 4-3

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: BIG Beginning Segment for Invoice Position: 020 Loop: Level: Heading Usage: Mandatory Max Use: 1 Purpose: To indicate the beginning of an invoice transaction set and transmit identifying numbers and dates Syntax Notes: Semantic Notes: 1 BIG01 is the invoice issue date. 2 BIG03 is the date assigned by the purchaser to purchase order. 3 BIG10 indicates the consolidated invoice number. When BIG07 contains code CI, BIG10 is not used. Comments: 1 BIG07 is used only to further define the type of invoice when needed. Data Element Summary Ref. Data Des. Element Name Attributes M/U BIG01 373 Date M DT 6/6 Date (YYMMDD) This date is the Invoice Date or Billing Date. M/U BIG02 76 Invoice Number M AN 1/22 Identifying number assigned by issuer X BIG03 373 Date O DT 6/6 Date (YYMMDD) X BIG04 324 Purchase Order Number O AN 1/22 Identifying number for Purchase Order assigned by the orderer/purchaser X BIG05 328 Release Number O AN 1/30 Number identifying a release against a Purchase Order previously placed by the parties involved in the transaction X BIG06 327 Change Order Sequence Number O AN 1/8 Number assigned by the orderer identifying a specific change or revision to a previously transmitted transaction set BIG07 640 Transaction Type O ID 2/2 specifying the type of transaction Valid Value(s): CN Credit Invoice DI Debit Invoice FB Final Bill BIG08 353 Transaction Set Purpose O ID 2/2 identifying purpose of transaction set Valid Value(s): 00 Original 07 Duplicate CO Corrected X BIG09 306 Action O ID 1/2 indicating type of action X BIG10 76 Invoice Number O AN 1/22 Identifying number assigned by issuer 810 ù 4-4 VERSION 1.0 JUNE 1996

Segment: CUR Currency Position: 040 Loop: Level: Heading Usage: Optional Max Use: 1 Purpose: To specify the currency (dollars, pounds, francs, etc.) used in a transaction Syntax Notes: 1 If CUR08 is present, then CUR07 is required. 2 If CUR09 is present, then CUR07 is required. 3 If CUR10 is present, then at least one of CUR11 or CUR12 is required. 4 If CUR11 is present, then CUR10 is required. 5 If CUR12 is present, then CUR10 is required. 6 If CUR13 is present, then at least one of CUR14 or CUR15 is required. 7 If CUR14 is present, then CUR13 is required. 8 If CUR15 is present, then CUR13 is required. 9 If CUR16 is present, then at least one of CUR17 or CUR18 is required. 10 If CUR17 is present, then CUR16 is required. 11 If CUR18 is present, then CUR16 is required. 12 If CUR19 is present, then at least one of CUR20 or CUR21 is required. 13 If CUR20 is present, then CUR19 is required. 14 If CUR21 is present, then CUR19 is required. Semantic Notes: Comments: 1 See Figures Appendix for examples detailing the use of the CUR segment. Notes: Currency associated with an invoice. Not recommended for domestic transactions. Data Element Summary Ref. Data Des. Element Name Attributes M/U CUR01 98 Entity Identifier M ID 2/2 identifying an organizational entity, a physical location, or an individual This data element identifies the party using currency defined in the Currency CUR02. M/U CUR02 100 Currency M ID 3/3 (Standard ISO) for country in whose currency the charges are specified This data element is a three position alpha code of the ISO-4217. The primary codes used in North America are: MXP - Mexican Pesos CAD - Canadian Dollar USD - United States Dollar CUR03 280 Exchange Rate O R 4/10 Value to be used as a multiplier conversion factor to convert monetary value from one currency to another CUR04 98 Entity Identifier O ID 2/2 identifying an organizational entity, a physical location, or an individual CUR05 100 Currency O ID 3/3 (Standard ISO) for country in whose currency the charges are specified CUR06 669 Currency Market/Exchange O ID 3/3 identifying the market upon which the currency exchange rate is based X CUR07 374 Date/Time Qualifier X ID 3/3 JUNE 1996 VERSION 1.0 810 ù 4-5

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE specifying type of date or time, or both date and time X CUR08 373 Date O DT 6/6 Date (YYMMDD) X CUR09 337 Time O TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) X CUR10 374 Date/Time Qualifier X ID 3/3 specifying type of date or time, or both date and time X CUR11 373 Date X DT 6/6 Date (YYMMDD) X CUR12 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) X CUR13 374 Date/Time Qualifier X ID 3/3 specifying type of date or time, or both date and time X CUR14 373 Date X DT 6/6 Date (YYMMDD) X CUR15 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) X CUR16 374 Date/Time Qualifier X ID 3/3 specifying type of date or time, or both date and time X CUR17 373 Date X DT 6/6 Date (YYMMDD) X CUR18 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) X CUR19 374 Date/Time Qualifier X ID 3/3 specifying type of date or time, or both date and time X CUR20 373 Date X DT 6/6 Date (YYMMDD) X CUR21 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) 810 ù 4-6 VERSION 1.0 JUNE 1996

Segment: REF Reference Identification Position: 050 Loop: Level: Heading Usage: Optional Max Use: 12 Purpose: To specify identifying information Syntax Notes: 1 At least one of REF02 or REF03 is required. 2 If either C04003 or C04004 is present, then the other is required. 3 If either C04005 or C04006 is present, then the other is required. Semantic Notes: 1 REF04 contains data relating to the value cited in REF02. Comments: Notes: Reference numbers associated with the invoice. Data Element Summary Ref. Data Des. Element Name Attributes M/U REF01 128 Reference Identification Qualifier M ID 2/3 Qualifying the Reference Identification Valid Value(s): 11 Account Number Number identifies a telecommunications industry account 12 Billing Account Account number under which billing is rendered 14 Master Account Number Account number used to represent individual billing accounts which have been consolidated and/or summarized 45 Old Account Number Identifies accounts being changed 5B Supplemental Account Number 5C Congressional District 9X Account Category BT Batch Number REF02 127 Reference Identification X AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier REF03 352 Description X AN 1/80 A free-form description to clarify the related data elements and their content X REF04 C040 Reference Identifier O To identify one or more reference numbers or identification numbers as specified by the Reference Qualifier X C04001 128 Reference Identification Qualifier M ID 2/3 Qualifying the Reference Identification X C04002 127 Reference Identification M AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier X C04003 128 Reference Identification Qualifier X ID 2/3 Qualifying the Reference Identification X C04004 127 Reference Identification X AN 1/30 JUNE 1996 VERSION 1.0 810 ù 4-7

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier X C04005 128 Reference Identification Qualifier X ID 2/3 Qualifying the Reference Identification X C04006 127 Reference Identification X AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier 810 ù 4-8 VERSION 1.0 JUNE 1996

Segment: N1 Name Position: 070 Loop: N1 Level: Heading Usage: Optional Max Use: 1 Purpose: To identify a party by type of organization, name, and code Syntax Notes: 1 At least one of N102 or N103 is required. 2 If either N103 or N104 is present, then the other is required. Semantic Notes: Comments: 1 This segment, used alone, provides the most efficient method of providing organizational identification. To obtain this efficiency the "ID " (N104) must provide a key to the table maintained by the transaction processing party. 2 N105 and N106 further define the type of entity in N101. Notes: This N1 loop identifies invoice parties. Data Element Summary Ref. Data Des. Element Name Attributes M/U N101 98 Entity Identifier M ID 2/2 identifying an organizational entity, a physical location, or an individual Valid Value(s): 8R Consumer Service Provider (CSP) Customer 8S Consumer Service Provider (CSP) BT Bill-to-Party BY Buying Party (Purchaser) MQ Metering Location PP Property SE Selling Party N102 93 Name X AN 1/35 Free-form name N103 66 Identification Qualifier X ID 1/2 designating the system/method of code structure used for Identification (67) Valid Value(s): 1 D-U-N-S Number, Dun & Bradstreet 9 D-U-N-S+4, D-U-N-S Number with Four Character Suffix 92 Assigned by Buyer or Buyer's Agent N104 67 Identification X AN 2/20 identifying a party or other code X N105 706 Entity Relationship O ID 2/2 describing entity relationship X N106 98 Entity Identifier O ID 2/2 identifying an organizational entity, a physical location, or an individual JUNE 1996 VERSION 1.0 810 ù 4-9

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: N2 Additional Name Information Position: 080 Loop: N1 Level: Heading Usage: Optional Max Use: 2 Purpose: To specify additional names or those longer than 35 characters in length Syntax Notes: Semantic Notes: Comments: Notes: Additional invoice party names. Data Element Summary Ref. Data Des. Element Name Attributes M/U N201 93 Name M AN 1/35 Free-form name N202 93 Name O AN 1/35 Free-form name 810 ù 4-10 VERSION 1.0 JUNE 1996

Segment: N3 Address Information Position: 090 Loop: N1 Level: Heading Usage: Optional Max Use: 2 Purpose: To specify the location of the named party Syntax Notes: Semantic Notes: Comments: Notes: Invoice party address information. Data Element Summary Ref. Data Des. Element Name Attributes M/U N301 166 Address Information M AN 1/35 Address information N302 166 Address Information O AN 1/35 Address information JUNE 1996 VERSION 1.0 810 ù 4-11

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: N4 Geographic Location Position: 100 Loop: N1 Level: Heading Usage: Optional Max Use: 1 Purpose: To specify the geographic place of the named party Syntax Notes: 1 If N406 is present, then N405 is required. Semantic Notes: Comments: 1 A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location. 2 N402 is required only if city name (N401) is in the U.S. or Canada. Notes: Invoice party address geographic location information. Data Element Summary Ref. Data Des. Element Name Attributes N401 19 City Name O AN 2/30 Free-form text for city name N402 156 State or Province O ID 2/2 (Standard State/Province) as defined by appropriate government agency N403 116 Postal O ID 3/15 defining international postal zone code excluding punctuation and blanks (zip code for United States) N404 26 Country O ID 2/3 identifying the country N405 309 Location Qualifier X ID 1/2 identifying type of location N406 310 Location Identifier O AN 1/30 which identifies a specific location 810 ù 4-12 VERSION 1.0 JUNE 1996

Segment: REF Reference Identification Position: 110 Loop: N1 Level: Heading Usage: Optional Max Use: 12 Purpose: To specify identifying information Syntax Notes: 1 At least one of REF02 or REF03 is required. 2 If either C04003 or C04004 is present, then the other is required. 3 If either C04005 or C04006 is present, then the other is required. Semantic Notes: 1 REF04 contains data relating to the value cited in REF02. Comments: Notes: Reference numbers associated with the invoice party. Data Element Summary Ref. Data Des. Element Name Attributes M/U REF01 128 Reference Identification Qualifier M ID 2/3 Qualifying the Reference Identification Valid Value(s): 5E Consumer Identifier 5T Payment Location BF Billing Center Identification SY Social Security Number TJ Federal Taxpayer's Identification Number REF02 127 Reference Identification X AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier REF03 352 Description X AN 1/80 A free-form description to clarify the related data elements and their content X REF04 C040 Reference Identifier O To identify one or more reference numbers or identification numbers as specified by the Reference Qualifier X C04001 128 Reference Identification Qualifier M ID 2/3 Qualifying the Reference Identification X C04002 127 Reference Identification M AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier X C04003 128 Reference Identification Qualifier X ID 2/3 Qualifying the Reference Identification X C04004 127 Reference Identification X AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier X C04005 128 Reference Identification Qualifier X ID 2/3 Qualifying the Reference Identification X C04006 127 Reference Identification X AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier JUNE 1996 VERSION 1.0 810 ù 4-13

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: PER Administrative Communications Contact Position: 120 Loop: N1 Level: Heading Usage: Optional Max Use: 3 Purpose: To identify a person or office to whom administrative communications should be directed Syntax Notes: 1 If either PER03 or PER04 is present, then the other is required. 2 If either PER05 or PER06 is present, then the other is required. 3 If either PER07 or PER08 is present, then the other is required. Semantic Notes: Comments: Notes: Invoice party information contacts and telephone numbers. Data Element Summary Ref. Data Des. Element Name Attributes M/U PER01 366 Contact Function M ID 2/2 identifying the major duty or responsibility of the person or group named Valid Value(s): AL Alternate Contact Person to be contacted when the main contact is not available IC Information Contact PER02 93 Name O AN 1/35 Free-form name PER03 365 Communication Number Qualifier X ID 2/2 identifying the type of communication number Valid Value(s): TE Telephone PER04 364 Communication Number X AN 1/80 Complete communications number including country or area code when applicable X PER05 365 Communication Number Qualifier X ID 2/2 identifying the type of communication number X PER06 364 Communication Number X AN 1/80 Complete communications number including country or area code when applicable X PER07 365 Communication Number Qualifier X ID 2/2 identifying the type of communication number X PER08 364 Communication Number X AN 1/80 Complete communications number including country or area code when applicable X PER09 443 Contact Inquiry Reference O AN 1/20 Additional reference number or description to clarify a contact number 810 ù 4-14 VERSION 1.0 JUNE 1996

Segment: DMG Demographic Information Position: 125 Loop: N1 Level: Heading Usage: Optional Max Use: 1 Purpose: To supply demographic information Syntax Notes: 1 If either DMG01 or DMG02 is present, then the other is required. Semantic Notes: 1 DMG02 is the date of birth. 2 DMG07 is the country of citizenship. 3 DMG09 is the age in years. Comments: Notes: Invoice party demographic information. Data Element Summary Ref. Data Des. Element Name Attributes X DMG01 1250 Date Time Period Format Qualifier X ID 2/3 indicating the date format, time format, or date and time format X DMG02 1251 Date Time Period X AN 1/35 Expression of a date, a time, or range of dates, times or dates and times X DMG03 1068 Gender O ID 1/1 indicating the sex of the individual X DMG04 1067 Marital Status O ID 1/1 defining the marital status of a person DMG05 1109 Race or Ethnicity O ID 1/1 indicating the racial or ethnic background of a person; it is normally self-reported; Under certain circumstances this information is collected for United States Government statistical purposes Valid Value(s): A Asian or Pacific Islander B Black C Caucasian D Subcontinent Asian American E Other Race or Ethnicity F Asian Pacific American G Native American H Hispanic I American Indian or Alaskan Native J Native Hawaiian N Black (Non-Hispanic) A person having origins in any of the black racial groups of Africa who is not of Mexican, Puerto Rican, Cuban, or South or Central American origin or of any other Spanish culture or origin regardless of race O White (Non-Hispanic) A person having origins in any of the original peoples of Europe, North Africa, or the Middle East who is not of Mexican, Puerto Rican, Cuban, or South or Central American origin or of any other JUNE 1996 VERSION 1.0 810 ù 4-15

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Spanish culture or origin regardless of race P Pacific Islander X DMG06 1066 Citizenship Status O ID 1/2 indicating citizenship status X DMG07 26 Country O ID 2/3 identifying the country X DMG08 659 Basis of Verification O ID 1/2 indicating the basis of verification X DMG09 380 Quantity O R 1/15 Numeric value of quantity 810 ù 4-16 VERSION 1.0 JUNE 1996

Segment: ITD Terms of Sale/Deferred Terms of Sale Position: 130 Loop: Level: Heading Usage: Optional Max Use: >1 Purpose: To specify terms of sale Syntax Notes: 1 If ITD03 is present, then at least one of ITD04 ITD05 or ITD13 is required. 2 If ITD08 is present, then at least one of ITD04 ITD05 or ITD13 is required. 3 If ITD09 is present, then at least one of ITD10 or ITD11 is required. Semantic Notes: 1 ITD15 is the percentage applied to a base amount used to determine a late payment charge. Comments: 1 If the code in ITD01 is "04", then ITD07 or ITD09 is required and either ITD10 or ITD11 is required; if the code in ITD01 is "05", then ITD06 or ITD07 is required. Notes: Terms of payment associated with the invoice. Data Element Summary Ref. Data Des. Element Name Attributes ITD01 336 Terms Type O ID 2/2 identifying type of payment terms Valid Value(s): 03 Fixed Date 18 Fixed Date, Late Payment Penalty Applies Sales terms specifying a past due date, and a late payment percentage penalty applies to unpaid balances past this due date X ITD02 333 Terms Basis Date O ID 1/2 identifying the beginning of the terms period X ITD03 338 Terms Discount Percent O R 1/6 Terms discount percentage, expressed as a percent, available to the purchaser if an invoice is paid on or before the Terms Discount Due Date X ITD04 370 Terms Discount Due Date X DT 6/6 Date payment is due if discount is to be earned X ITD05 351 Terms Discount Days Due X N0 1/3 Number of days in the terms discount period by which payment is due if terms discount is earned ITD06 446 Terms Net Due Date O DT 6/6 Date when total invoice amount becomes due X ITD07 386 Terms Net Days O N0 1/3 Number of days until total invoice amount is due (discount not applicable) X ITD08 362 Terms Discount Amount O N2 1/10 Total amount of terms discount X ITD09 388 Terms Deferred Due Date O DT 6/6 Date deferred payment or percent of invoice payable is due X ITD10 389 Deferred Amount Due X N2 1/10 Deferred amount due for payment X ITD11 342 Percent of Invoice Payable X R 1/5 Amount of invoice payable expressed in percent JUNE 1996 VERSION 1.0 810 ù 4-17

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE ITD12 352 Description O AN 1/80 A free-form description to clarify the related data elements and their content X ITD13 765 Day of Month X N0 1/2 The numeric value of the day of the month between 1 and the maximum day of the month being referenced X ITD14 107 Payment Method O ID 1/1 identifying type of payment procedures X ITD15 954 Percent O R 1/10 Percentage expressed as a decimal 810 ù 4-18 VERSION 1.0 JUNE 1996

Segment: DTM Date/Time Reference Position: 140 Loop: Level: Heading Usage: Optional Max Use: 10 Purpose: To specify pertinent dates and times Syntax Notes: 1 At least one of DTM02 DTM03 or DTM06 is required. 2 If either DTM06 or DTM07 is present, then the other is required. Semantic Notes: Comments: Notes: Dates associated with the invoice. Data Element Summary Ref. Data Des. Element Name Attributes M/U DTM01 374 Date/Time Qualifier M ID 3/3 specifying type of date or time, or both date and time Valid Value(s): 146 Closing Date 150 Service Period Start 151 Service Period End 186 Invoice Period Start When the billing period covered by an invoice begins 187 Invoice Period End When the billing period covered by an invoice ends 946 Mail By DTM02 373 Date X DT 6/6 Date (YYMMDD) X DTM03 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) X DTM04 623 Time O ID 2/2 identifying the time. In accordance with International Standards Organization standard 8601, time can be specified by a + or - and an indication in hours in relation to Universal Time Coordinate (UTC) time; since + is a restricted character, + and - are substituted by P and M in the codes that follow DTM05 624 Century O N0 2/2 The first two characters in the designation of the year (CCYY) X DTM06 1250 Date Time Period Format Qualifier X ID 2/3 indicating the date format, time format, or date and time format X DTM07 1251 Date Time Period X AN 1/35 Expression of a date, a time, or range of dates, times or dates and times JUNE 1996 VERSION 1.0 810 ù 4-19

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: PID Product/Item Description Position: 160 Loop: Level: Heading Usage: Optional Max Use: 200 Purpose: To describe a product or process in coded or free-form format Syntax Notes: 1 If PID04 is present, then PID03 is required. 2 At least one of PID04 or PID05 is required. 3 If PID07 is present, then PID03 is required. 4 If PID08 is present, then PID03 is required. Semantic Notes: 1 Use PID03 to indicate the organization that publishes the code list being referred to. 2 PID04 should be used for industry-specific product description codes. 3 PID08 describes the physical characteristics of the product identified in PID04. A "Y" indicates that the specified attribute applies to this item; an "N" indicates it does not apply. Any other value is indeterminate. 4 PID09 is used to identify the language being used in PID05. Comments: 1 If PID01 equals "F", then PID05 is used. If PID01 equals "S", then PID04 is used. If PID01 equals "X", then both PID04 and PID05 are used. 2 Use PID06 when necessary to refer to the product surface or layer being described in the segment. 3 PID07 specifies the individual code list of the agency specified in PID03. Notes: Message text associated with the invoice. Data Element Summary Ref. Data Des. Element Name Attributes M/U PID01 349 Item Description Type M ID 1/1 indicating the format of a description Valid Value(s): F Free-form S Structured (From Industry List) X Semi-structured ( and Text) X PID02 750 Product/Process Characteristic O ID 2/3 identifying the general class of a product or process characteristic PID03 559 Agency Qualifier X ID 2/2 identifying the agency assigning the code values Valid Value(s): AS Assigned by Seller PID04 751 Product Description X AN 1/12 A code from an industry code list which provides specific data about a product characteristic Use this code to identify the type and line number of a message. Use first position to identify TYPE of message. Use second position to identify LINE NUMBER of message. For example, B1 for Billing message line one, B2 for Billing Message line two, S1 for Statement Message line one. Message Types are determines by seller (invoice sender). The following are samples of message TYPES: B - Billing Message D - Detail Message F - Franchise Message 810 ù 4-20 VERSION 1.0 JUNE 1996

G - Good Neighbor Message L - Late Message P - Product Message R - Rate Message S - Statement Message X - Free-form Message PID05 352 Description X AN 1/80 A free-form description to clarify the related data elements and their content Message line of data. X PID06 752 Surface/Layer/Position O ID 2/2 indicating the product surface, layer or position that is being described X PID07 822 Source Subqualifier O AN 1/15 A reference that indicates the table or text maintained by the Source Qualifier X PID08 1073 Yes/No Condition or Response O ID 1/1 indicating a Yes or No condition or response X PID09 819 Language O ID 2/3 designating the language used in text, from a standard code list maintained by the International Standards Organization (ISO 639) JUNE 1996 VERSION 1.0 810 ù 4-21

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: BAL Balance Detail Position: 212 Loop: Level: Heading Usage: Optional Max Use: >1 Purpose: To identify the specific monetary balances associated with a particular account Syntax Notes: Semantic Notes: Comments: Notes: Balance information associated with the invoice. Data Element Summary Ref. Data Des. Element Name Attributes M/U BAL01 951 Balance Type M ID 1/2 indicating the type of balance Valid Value(s): M Current Month P Previous Month Balance of previous period charges prior to applying payments and adjustments for the previous period billing Y Year to Date M/U BAL02 522 Amount Qualifier M ID 1/2 to qualify amount Valid Value(s): BD Balance Due DG Escrow Balance The amount authorized to be bid at a foreclosure sale or sales price in a preforeclosure sale GO Credit Line GR Credit Line Available GU Taxes Paid GW Total Charge GX Total Credit GY Total Debit GZ Total Finance Charge IN Installment MD Minimum Due PB Billed Amount Total amount due on the period bill PF Principal PJ Past Due TP Total payment amount YB Actual Unpaid Principal Balance M/U BAL03 782 Monetary Amount M R 1/15 Monetary amount 810 ù 4-22 VERSION 1.0 JUNE 1996

Segment: INC Installment Information Position: 213 Loop: Level: Heading Usage: Optional Max Use: 1 Purpose: To specify installment billing arrangement Syntax Notes: Semantic Notes: 1 INC02 is the installment period (e.g., months). 2 INC03 is the total number of installments. 3 INC04 is the number of the current installment. 4 INC05 is the installment balance after the current installment is applied. Comments: Notes: Installment billing information associated with the invoice. Data Element Summary Ref. Data Des. Element Name Attributes M/U INC01 336 Terms Type M ID 2/2 identifying type of payment terms M/U INC02 C001 Composite Unit of Measure M To identify a composite unit of measure (See Figures Appendix for examples of use) M/U C00101 355 Unit or Basis for Measurement M ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken Valid Value(s): DA Days MO Months YR Years X C00102 1018 Exponent O R 1/15 Power to which a unit is raised X C00103 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value X C00104 355 Unit or Basis for Measurement O ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken X C00105 1018 Exponent O R 1/15 Power to which a unit is raised X C00106 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value X C00107 355 Unit or Basis for Measurement O ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken X C00108 1018 Exponent O R 1/15 Power to which a unit is raised X C00109 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value X C00110 355 Unit or Basis for Measurement O ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken X C00111 1018 Exponent O R 1/15 JUNE 1996 VERSION 1.0 810 ù 4-23

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Power to which a unit is raised X C00112 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value X C00113 355 Unit or Basis for Measurement O ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken X C00114 1018 Exponent O R 1/15 Power to which a unit is raised X C00115 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value M/U INC03 380 Quantity M R 1/15 Numeric value of quantity M/U INC04 380 Quantity M R 1/15 Numeric value of quantity INC05 782 Monetary Amount O R 1/15 Monetary amount 810 ù 4-24 VERSION 1.0 JUNE 1996

Segment: PAM Period Amount Position: 214 Loop: Level: Heading Usage: Optional Max Use: >1 Purpose: To indicate a quantity, and/or amount for an identified period Syntax Notes: 1 If any of PAM01 PAM02 or PAM03 is present, then all are required. 2 At least one of PAM02 PAM05 or PAM14 is required. 3 If either PAM04 or PAM05 is present, then the other is required. 4 If either PAM06 or PAM07 is present, then the other is required. 5 If PAM07 is present, then at least one of PAM08 or PAM09 is required. 6 If PAM07 is present, then PAM06 is required. 7 If PAM08 is present, then PAM07 is required. 8 If PAM09 is present, then PAM07 is required. 9 If PAM10 is present, then at least one of PAM11 or PAM12 is required. 10 If PAM11 is present, then PAM10 is required. 11 If either PAM13 or PAM14 is present, then the other is required. Semantic Notes: 1 PAM10, PAM11, or PAM12 are used when two dates are required. Comments: Notes: Period amounts and quantities associated with the invoice. Data Element Summary Ref. Data Des. Element Name Attributes PAM01 673 Quantity Qualifier X ID 2/2 specifying the type of quantity PAM02 380 Quantity X R 1/15 Numeric value of quantity PAM03 C001 Composite Unit of Measure X To identify a composite unit of measure (See Figures Appendix for examples of use) M/U C00101 355 Unit or Basis for Measurement M ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken X C00102 1018 Exponent O R 1/15 Power to which a unit is raised X C00103 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value X C00104 355 Unit or Basis for Measurement O ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken X C00105 1018 Exponent O R 1/15 Power to which a unit is raised X C00106 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value X C00107 355 Unit or Basis for Measurement O ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken X C00108 1018 Exponent O R 1/15 Power to which a unit is raised X C00109 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value JUNE 1996 VERSION 1.0 810 ù 4-25

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE X C00110 355 Unit or Basis for Measurement O ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken X C00111 1018 Exponent O R 1/15 Power to which a unit is raised X C00112 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value X C00113 355 Unit or Basis for Measurement O ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken X C00114 1018 Exponent O R 1/15 Power to which a unit is raised X C00115 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value PAM04 522 Amount Qualifier X ID 1/2 to qualify amount PAM05 782 Monetary Amount X R 1/15 Monetary amount PAM06 344 Unit of Time Period or Interval X ID 2/2 indicating the time period or interval PAM07 374 Date/Time Qualifier X ID 3/3 specifying type of date or time, or both date and time PAM08 373 Date X DT 6/6 Date (YYMMDD) PAM09 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) PAM10 374 Date/Time Qualifier X ID 3/3 specifying type of date or time, or both date and time PAM11 373 Date X DT 6/6 Date (YYMMDD) PAM12 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) PAM13 1004 Percent Qualifier X ID 1/2 to qualify percent PAM14 954 Percent X R 1/10 Percentage expressed as a decimal 810 ù 4-26 VERSION 1.0 JUNE 1996

Segment: IT1 Baseline Item Data (Invoice) Position: 010 Loop: IT1 Level: Detail Usage: Optional Max Use: 1 Purpose: To specify the basic and most frequently used line item data for the invoice and related transactions Syntax Notes: 1 If any of IT102 IT103 or IT104 is present, then all are required. 2 If either IT106 or IT107 is present, then the other is required. 3 If either IT108 or IT109 is present, then the other is required. 4 If either IT110 or IT111 is present, then the other is required. 5 If either IT112 or IT113 is present, then the other is required. 6 If either IT114 or IT115 is present, then the other is required. 7 If either IT116 or IT117 is present, then the other is required. 8 If either IT118 or IT119 is present, then the other is required. 9 If either IT120 or IT121 is present, then the other is required. 10 If either IT122 or IT123 is present, then the other is required. 11 If either IT124 or IT125 is present, then the other is required. Semantic Notes: 1 IT101 is the purchase order line item identification. Comments: 1 Element 235/234 combinations should be interpreted to include products and/or services. See the Data Dictionary for a complete list of IDs. 2 IT106 through IT125 provide for ten different product/service IDs for each item. For example: Case, Color, Drawing No., UPC No., ISBN No., Model No., or SKU. Notes: The IT1 loop identifies an invoice line item. Data Element Summary Ref. Data Des. Element Name Attributes IT101 350 Assigned Identification O AN 1/20 Alphanumeric characters assigned for differentiation within a transaction set IT102 358 Quantity Invoiced X R 1/10 Number of units invoiced (supplier units) IT103 355 Unit or Basis for Measurement X ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken Valid Value(s): EA Each UN Unit IT104 212 Unit Price X R 1/17 Price per unit of product, service, commodity, etc. IT105 639 Basis of Unit Price O ID 2/2 identifying the type of unit price for an item IT106 235 Product/Service ID Qualifier X ID 2/2 identifying the type/source of the descriptive number used in Product/Service ID (234) Valid Value(s): SV Service Rendered VN Vendor's (Seller's) Item Number IT107 234 Product/Service ID X AN 1/40 JUNE 1996 VERSION 1.0 810 ù 4-27

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Identifying number for a product or service X IT108 235 Product/Service ID Qualifier X ID 2/2 identifying the type/source of the descriptive number used in Product/Service ID (234) X IT109 234 Product/Service ID X AN 1/40 Identifying number for a product or service X IT110 235 Product/Service ID Qualifier X ID 2/2 identifying the type/source of the descriptive number used in Product/Service ID (234) X IT111 234 Product/Service ID X AN 1/40 Identifying number for a product or service X IT112 235 Product/Service ID Qualifier X ID 2/2 identifying the type/source of the descriptive number used in Product/Service ID (234) X IT113 234 Product/Service ID X AN 1/40 Identifying number for a product or service X IT114 235 Product/Service ID Qualifier X ID 2/2 identifying the type/source of the descriptive number used in Product/Service ID (234) X IT115 234 Product/Service ID X AN 1/40 Identifying number for a product or service X IT116 235 Product/Service ID Qualifier X ID 2/2 identifying the type/source of the descriptive number used in Product/Service ID (234) X IT117 234 Product/Service ID X AN 1/40 Identifying number for a product or service X IT118 235 Product/Service ID Qualifier X ID 2/2 identifying the type/source of the descriptive number used in Product/Service ID (234) X IT119 234 Product/Service ID X AN 1/40 Identifying number for a product or service X IT120 235 Product/Service ID Qualifier X ID 2/2 identifying the type/source of the descriptive number used in Product/Service ID (234) X IT121 234 Product/Service ID X AN 1/40 Identifying number for a product or service X IT122 235 Product/Service ID Qualifier X ID 2/2 identifying the type/source of the descriptive number used in Product/Service ID (234) X IT123 234 Product/Service ID X AN 1/40 Identifying number for a product or service X IT124 235 Product/Service ID Qualifier X ID 2/2 identifying the type/source of the descriptive number used in Product/Service ID (234) X IT125 234 Product/Service ID X AN 1/40 Identifying number for a product or service 810 ù 4-28 VERSION 1.0 JUNE 1996

Segment: CUR Currency Position: 020 Loop: IT1 Level: Detail Usage: Optional Max Use: 1 Purpose: To specify the currency (dollars, pounds, francs, etc.) used in a transaction Syntax Notes: 1 If CUR08 is present, then CUR07 is required. 2 If CUR09 is present, then CUR07 is required. 3 If CUR10 is present, then at least one of CUR11 or CUR12 is required. 4 If CUR11 is present, then CUR10 is required. 5 If CUR12 is present, then CUR10 is required. 6 If CUR13 is present, then at least one of CUR14 or CUR15 is required. 7 If CUR14 is present, then CUR13 is required. 8 If CUR15 is present, then CUR13 is required. 9 If CUR16 is present, then at least one of CUR17 or CUR18 is required. 10 If CUR17 is present, then CUR16 is required. 11 If CUR18 is present, then CUR16 is required. 12 If CUR19 is present, then at least one of CUR20 or CUR21 is required. 13 If CUR20 is present, then CUR19 is required. 14 If CUR21 is present, then CUR19 is required. Semantic Notes: Comments: 1 See Figures Appendix for examples detailing the use of the CUR segment. Notes: Currency associated with an invoice line item. Not recommend for domestic transactions. Data Element Summary Ref. Data Des. Element Name Attributes M/U CUR01 98 Entity Identifier M ID 2/2 identifying an organizational entity, a physical location, or an individual This data element identifies the party using currency defined in the Currency CUR02. M/U CUR02 100 Currency M ID 3/3 (Standard ISO) for country in whose currency the charges are specified This data element is a three position alpha code of the ISO-4217. The primary codes used in North America are MXP - Mexican Peso CAD - Canadian Dollar USD - United States Dollar. CUR03 280 Exchange Rate O R 4/10 Value to be used as a multiplier conversion factor to convert monetary value from one currency to another CUR04 98 Entity Identifier O ID 2/2 identifying an organizational entity, a physical location, or an individual CUR05 100 Currency O ID 3/3 (Standard ISO) for country in whose currency the charges are specified CUR06 669 Currency Market/Exchange O ID 3/3 identifying the market upon which the currency exchange rate is based X CUR07 374 Date/Time Qualifier X ID 3/3 JUNE 1996 VERSION 1.0 810 ù 4-29

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE specifying type of date or time, or both date and time X CUR08 373 Date O DT 6/6 Date (YYMMDD) X CUR09 337 Time O TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) X CUR10 374 Date/Time Qualifier X ID 3/3 specifying type of date or time, or both date and time X CUR11 373 Date X DT 6/6 Date (YYMMDD) X CUR12 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) X CUR13 374 Date/Time Qualifier X ID 3/3 specifying type of date or time, or both date and time X CUR14 373 Date X DT 6/6 Date (YYMMDD) X CUR15 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) X CUR16 374 Date/Time Qualifier X ID 3/3 specifying type of date or time, or both date and time X CUR17 373 Date X DT 6/6 Date (YYMMDD) X CUR18 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) X CUR19 374 Date/Time Qualifier X ID 3/3 specifying type of date or time, or both date and time X CUR20 373 Date X DT 6/6 Date (YYMMDD) X CUR21 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) 810 ù 4-30 VERSION 1.0 JUNE 1996

Segment: TXI Tax Information Position: 040 Loop: IT1 Level: Detail Usage: Optional Max Use: 10 Purpose: To specify tax information Syntax Notes: 1 At least one of TXI02 TXI03 or TXI06 is required. 2 If either TXI04 or TXI05 is present, then the other is required. 3 If TXI08 is present, then TXI03 is required. Semantic Notes: 1 TXI07 is a code indicating the relationship of the price or amount to the associated segment. Comments: 1 TXI02 is the monetary amount of the tax. 2 TXI03 is the tax percent expressed as a decimal. 3 If TXI02 is not used, then the application of the percent (TXI03) is between trading partners. Notes: Tax information associated with an invoice line item. Data Element Summary Ref. Data Des. Element Name Attributes M/U TXI01 963 Tax Type M ID 2/2 specifying the type of tax See Data Element 963 for all possible tax type codes. Only the main tax types are listed here. Valid Value(s): GR Gross Receipts Tax ST State Sales Tax TXI02 782 Monetary Amount X R 1/15 Monetary amount TXI03 954 Percent X R 1/10 Percentage expressed as a decimal TXI04 955 Tax Jurisdiction Qualifier X ID 2/2 identifying the source of the data used in tax jurisdiction code Valid Value(s): CD Customer defined VD Vendor defined VE Vertex TXI05 956 Tax Jurisdiction X AN 1/10 identifying the taxing jurisdiction TXI06 441 Tax Exempt X ID 1/1 identifying exemption status from sales and use tax TXI07 662 Relationship O ID 1/1 indicating the relationship between entities TXI08 828 Dollar Basis For Percent O R 1/9 Dollar basis to be used in the percent calculation of the allowance, charge or tax TXI09 325 Tax Identification Number O AN 1/20 Number assigned to a purchaser (buyer, orderer) by a taxing jurisdiction (state, county, etc.); often called a tax exemption number or certificate number JUNE 1996 VERSION 1.0 810 ù 4-31

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE TXI10 350 Assigned Identification O AN 1/20 Alphanumeric characters assigned for differentiation within a transaction set 810 ù 4-32 VERSION 1.0 JUNE 1996

Segment: PAM Period Amount Position: 055 Loop: IT1 Level: Detail Usage: Optional Max Use: 10 Purpose: To indicate a quantity, and/or amount for an identified period Syntax Notes: 1 If any of PAM01 PAM02 or PAM03 is present, then all are required. 2 At least one of PAM02 PAM05 or PAM14 is required. 3 If either PAM04 or PAM05 is present, then the other is required. 4 If either PAM06 or PAM07 is present, then the other is required. 5 If PAM07 is present, then at least one of PAM08 or PAM09 is required. 6 If PAM07 is present, then PAM06 is required. 7 If PAM08 is present, then PAM07 is required. 8 If PAM09 is present, then PAM07 is required. 9 If PAM10 is present, then at least one of PAM11 or PAM12 is required. 10 If PAM11 is present, then PAM10 is required. 11 If either PAM13 or PAM14 is present, then the other is required. Semantic Notes: 1 PAM10, PAM11, or PAM12 are used when two dates are required. Comments: Notes: Period amounts and quantities associated with an invoice line item. Data Element Summary Ref. Data Des. Element Name Attributes PAM01 673 Quantity Qualifier X ID 2/2 specifying the type of quantity Valid Value(s): 1K Time Units The number of time units such as 8 (hours) D1 Billed UU Used PAM02 380 Quantity X R 1/15 Numeric value of quantity PAM03 C001 Composite Unit of Measure X To identify a composite unit of measure (See Figures Appendix for examples of use) M/U C00101 355 Unit or Basis for Measurement M ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken Valid Value(s): DA Days K7 Kilowatt Measure of electrical power X C00102 1018 Exponent O R 1/15 Power to which a unit is raised X C00103 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value X C00104 355 Unit or Basis for Measurement O ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken X C00105 1018 Exponent O R 1/15 JUNE 1996 VERSION 1.0 810 ù 4-33

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Power to which a unit is raised X C00106 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value X C00107 355 Unit or Basis for Measurement O ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken X C00108 1018 Exponent O R 1/15 Power to which a unit is raised X C00109 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value X C00110 355 Unit or Basis for Measurement O ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken X C00111 1018 Exponent O R 1/15 Power to which a unit is raised X C00112 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value X C00113 355 Unit or Basis for Measurement O ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken X C00114 1018 Exponent O R 1/15 Power to which a unit is raised X C00115 649 Multiplier O R 1/10 Value to be used as a multiplier to obtain a new value PAM04 522 Amount Qualifier X ID 1/2 to qualify amount Valid Value(s): DY Per Day Limit PAM05 782 Monetary Amount X R 1/15 Monetary amount PAM06 344 Unit of Time Period or Interval X ID 2/2 indicating the time period or interval Valid Value(s): DY Day HR Hours MO Month PAM07 374 Date/Time Qualifier X ID 3/3 specifying type of date or time, or both date and time Valid Value(s): 193 Period Start PAM08 373 Date X DT 6/6 Date (YYMMDD) PAM09 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) PAM10 374 Date/Time Qualifier X ID 3/3 specifying type of date or time, or both date and time 810 ù 4-34 VERSION 1.0 JUNE 1996

Valid Value(s): 194 Period End PAM11 373 Date X DT 6/6 Date (YYMMDD) PAM12 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) PAM13 1004 Percent Qualifier X ID 1/2 to qualify percent Valid Value(s): CH Change PAM14 954 Percent X R 1/10 Percentage expressed as a decimal JUNE 1996 VERSION 1.0 810 ù 4-35

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: PID Product/Item Description Position: 060 Loop: PID Level: Detail Usage: Optional Max Use: 1 Purpose: To describe a product or process in coded or free-form format Syntax Notes: 1 If PID04 is present, then PID03 is required. 2 At least one of PID04 or PID05 is required. 3 If PID07 is present, then PID03 is required. 4 If PID08 is present, then PID03 is required. Semantic Notes: 1 Use PID03 to indicate the organization that publishes the code list being referred to. 2 PID04 should be used for industry-specific product description codes. 3 PID08 describes the physical characteristics of the product identified in PID04. A "Y" indicates that the specified attribute applies to this item; an "N" indicates it does not apply. Any other value is indeterminate. 4 PID09 is used to identify the language being used in PID05. Comments: 1 If PID01 equals "F", then PID05 is used. If PID01 equals "S", then PID04 is used. If PID01 equals "X", then both PID04 and PID05 are used. 2 Use PID06 when necessary to refer to the product surface or layer being described in the segment. 3 PID07 specifies the individual code list of the agency specified in PID03. Notes: Description information associated with an invoice line item. Data Element Summary Ref. Data Des. Element Name Attributes M/U PID01 349 Item Description Type M ID 1/1 indicating the format of a description Valid Value(s): F Free-form X PID02 750 Product/Process Characteristic O ID 2/3 identifying the general class of a product or process characteristic X PID03 559 Agency Qualifier X ID 2/2 identifying the agency assigning the code values X PID04 751 Product Description X AN 1/12 A code from an industry code list which provides specific data about a product characteristic PID05 352 Description X AN 1/80 A free-form description to clarify the related data elements and their content X PID06 752 Surface/Layer/Position O ID 2/2 indicating the product surface, layer or position that is being described X PID07 822 Source Subqualifier O AN 1/15 A reference that indicates the table or text maintained by the Source Qualifier X PID08 1073 Yes/No Condition or Response O ID 1/1 indicating a Yes or No condition or response X PID09 819 Language O ID 2/3 designating the language used in text, from a standard code list maintained by the International Standards Organization (ISO 639) 810 ù 4-36 VERSION 1.0 JUNE 1996

Segment: REF Reference Identification Position: 120 Loop: IT1 Level: Detail Usage: Optional Max Use: >1 Purpose: To specify identifying information Syntax Notes: 1 At least one of REF02 or REF03 is required. 2 If either C04003 or C04004 is present, then the other is required. 3 If either C04005 or C04006 is present, then the other is required. Semantic Notes: 1 REF04 contains data relating to the value cited in REF02. Comments: Notes: Reference numbers associated with an invoice line item. Data Element Summary Ref. Data Des. Element Name Attributes M/U REF01 128 Reference Identification Qualifier M ID 2/3 Qualifying the Reference Identification Valid Value(s): 46 Old Meter Number Identifies meters being removed CA Cost Allocation Reference IJ Standard Industry Classification (SIC) IV Seller's Invoice Number IX Item Number MG Meter Number RB Rate code number ST Store Number REF02 127 Reference Identification X AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier REF03 352 Description X AN 1/80 A free-form description to clarify the related data elements and their content X REF04 C040 Reference Identifier O To identify one or more reference numbers or identification numbers as specified by the Reference Qualifier X C04001 128 Reference Identification Qualifier M ID 2/3 Qualifying the Reference Identification X C04002 127 Reference Identification M AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier X C04003 128 Reference Identification Qualifier X ID 2/3 Qualifying the Reference Identification X C04004 127 Reference Identification X AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier X C04005 128 Reference Identification Qualifier X ID 2/3 Qualifying the Reference Identification X C04006 127 Reference Identification X AN 1/30 JUNE 1996 VERSION 1.0 810 ù 4-37

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier 810 ù 4-38 VERSION 1.0 JUNE 1996

Segment: DTM Date/Time Reference Position: 150 Loop: IT1 Level: Detail Usage: Optional Max Use: 10 Purpose: To specify pertinent dates and times Syntax Notes: 1 At least one of DTM02 DTM03 or DTM06 is required. 2 If either DTM06 or DTM07 is present, then the other is required. Semantic Notes: Comments: Notes: Dates associated with an invoice line item. Data Element Summary Ref. Data Des. Element Name Attributes M/U DTM01 374 Date/Time Qualifier M ID 3/3 specifying type of date or time, or both date and time Valid Value(s): 050 Received 150 Service Period Start 151 Service Period End 809 Posted 945 Activity 948 Payment Initiated 949 Payment Effective DTM02 373 Date X DT 6/6 Date (YYMMDD) X DTM03 337 Time X TM 4/8 Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) X DTM04 623 Time O ID 2/2 identifying the time. In accordance with International Standards Organization standard 8601, time can be specified by a + or - and an indication in hours in relation to Universal Time Coordinate (UTC) time; since + is a restricted character, + and - are substituted by P and M in the codes that follow DTM05 624 Century O N0 2/2 The first two characters in the designation of the year (CCYY) X DTM06 1250 Date Time Period Format Qualifier X ID 2/3 indicating the date format, time format, or date and time format X DTM07 1251 Date Time Period X AN 1/35 Expression of a date, a time, or range of dates, times or dates and times JUNE 1996 VERSION 1.0 810 ù 4-39

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: SAC Service, Promotion, Allowance, or Charge Information Position: 180 Loop: SAC Level: Detail Usage: Optional Max Use: 1 Purpose: To request or identify a service, promotion, allowance, or charge; to specify the amount or percentage for the service, promotion, allowance, or charge Syntax Notes: 1 At least one of SAC02 or SAC03 is required. 2 If either SAC03 or SAC04 is present, then the other is required. 3 If either SAC06 or SAC07 is present, then the other is required. 4 If either SAC09 or SAC10 is present, then the other is required. 5 If SAC11 is present, then SAC10 is required. 6 If SAC13 is present, then at least one of SAC02 or SAC04 is required. 7 If SAC14 is present, then SAC13 is required. Semantic Notes: 1 If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 is required. 2 SAC05 is the total amount for the service, promotion, allowance, or charge. If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence. 3 SAC08 is the allowance or charge rate per unit. 4 SAC10 and SAC11 is the quantity basis when the allowance or charge quantity is different from the purchase order or invoice quantity. SAC10 and SAC11 used together indicate a quantity range, which could be a dollar amount, that is applicable to service, promotion, allowance, or charge. 5 SAC13 is used in conjunction with SAC02 or SAC04 to provide a specific reference number as identified by the code used. 6 SAC14 is used in conjunction with SAC13 to identify an option when there is more than one option of the promotion. Comments: 1 SAC04 may be used to uniquely identify the service, promotion, allowance, or charge. In addition, it may be used in conjunction to further the code in SAC02. 2 In some business applications, it is necessary to advise the trading partner of the actual dollar amount that a particular allowance, charge, or promotion was based on to reduce ambiguity. This amount is commonly referred to a "Dollar Basis Amount". It is represented in the SAC segment in SAC10 using the qualifier "DO" - Dollars in SAC09. Notes: Service/Promotion allowance/charge information associated with an invoice line item. Data Element Summary Ref. Data Des. Element Name Attributes M/U SAC01 248 Allowance or Charge Indicator M ID 1/1 which indicates an allowance or charge for the service specified Valid Value(s): A Allowance C Charge N No Allowance or Charge P Promotion R Allowance Request S Service SAC02 1300 Service, Promotion, Allowance, or Charge X ID 4/4 810 ù 4-40 VERSION 1.0 JUNE 1996

identifying the service, promotion, allowance, or charge See data element 1300 for other codes. The codes listed here are only a small subset of the code which can be used. Valid Value(s): A170 Adjustments B800 Credit E280 Late Payment Charge I690 Gratuity I700 Escrow SAC03 559 Agency Qualifier X ID 2/2 identifying the agency assigning the code values SAC04 1301 Agency Service, Promotion, Allowance, or X AN 1/10 Charge Agency maintained code identifying the service, promotion, allowance, or charge SAC05 610 Amount O N2 1/15 Monetary amount SAC06 378 Allowance/ Charge Percent Qualifier X ID 1/1 indicating on what basis allowance or charge percent is calculated SAC07 332 Percent X R 1/6 Percent expressed as a percent SAC08 118 Rate O R 1/9 Rate expressed in the standard monetary denomination for the currency specified SAC09 355 Unit or Basis for Measurement X ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken SAC10 380 Quantity X R 1/15 Numeric value of quantity SAC11 380 Quantity O R 1/15 Numeric value of quantity SAC12 331 Allowance or Charge Method of Handling O ID 2/2 indicating method of handling for an allowance or charge SAC13 127 Reference Identification X AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier SAC14 770 Option Number O AN 1/20 A unique number identifying available promotion or allowance options when more than one is offered SAC15 352 Description O AN 1/80 A free-form description to clarify the related data elements and their content JUNE 1996 VERSION 1.0 810 ù 4-41

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: TXI Tax Information Position: 190 Loop: SAC Level: Detail Usage: Optional Max Use: 10 Purpose: To specify tax information Syntax Notes: 1 At least one of TXI02 TXI03 or TXI06 is required. 2 If either TXI04 or TXI05 is present, then the other is required. 3 If TXI08 is present, then TXI03 is required. Semantic Notes: 1 TXI07 is a code indicating the relationship of the price or amount to the associated segment. Comments: 1 TXI02 is the monetary amount of the tax. 2 TXI03 is the tax percent expressed as a decimal. 3 If TXI02 is not used, then the application of the percent (TXI03) is between trading partners. Notes: Tax information related to a service/promotion allowance/charge. Data Element Summary Ref. Data Des. Element Name Attributes M/U TXI01 963 Tax Type M ID 2/2 specifying the type of tax See Data Element 963 for all possible tax type codes. Only the main tax types are listed here. Valid Value(s): GR Gross Receipts Tax ST State Sales Tax TXI02 782 Monetary Amount X R 1/15 Monetary amount TXI03 954 Percent X R 1/10 Percentage expressed as a decimal TXI04 955 Tax Jurisdiction Qualifier X ID 2/2 identifying the source of the data used in tax jurisdiction code Valid Value(s): CD Customer defined VD Vendor defined VE Vertex TXI05 956 Tax Jurisdiction X AN 1/10 identifying the taxing jurisdiction TXI06 441 Tax Exempt X ID 1/1 identifying exemption status from sales and use tax TXI07 662 Relationship O ID 1/1 indicating the relationship between entities TXI08 828 Dollar Basis For Percent O R 1/9 Dollar basis to be used in the percent calculation of the allowance, charge or tax TXI09 325 Tax Identification Number O AN 1/20 Number assigned to a purchaser (buyer, orderer) by a taxing jurisdiction (state, county, etc.); often called a tax exemption number or certificate number 810 ù 4-42 VERSION 1.0 JUNE 1996

TXI10 350 Assigned Identification O AN 1/20 Alphanumeric characters assigned for differentiation within a transaction set JUNE 1996 VERSION 1.0 810 ù 4-43

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: N1 Name Position: 240 Loop: N1 Level: Detail Usage: Optional Max Use: 1 Purpose: To identify a party by type of organization, name, and code Syntax Notes: 1 At least one of N102 or N103 is required. 2 If either N103 or N104 is present, then the other is required. Semantic Notes: Comments: 1 This segment, used alone, provides the most efficient method of providing organizational identification. To obtain this efficiency the "ID " (N104) must provide a key to the table maintained by the transaction processing party. 2 N105 and N106 further define the type of entity in N101. Notes: This N1 loop contains name/address information for a party associated with an invoice line item. Data Element Summary Ref. Data Des. Element Name Attributes M/U N101 98 Entity Identifier M ID 2/2 identifying an organizational entity, a physical location, or an individual Valid Value(s): VN Vendor N102 93 Name X AN 1/35 Free-form name N103 66 Identification Qualifier X ID 1/2 designating the system/method of code structure used for Identification (67) N104 67 Identification X AN 2/20 identifying a party or other code X N105 706 Entity Relationship O ID 2/2 describing entity relationship X N106 98 Entity Identifier O ID 2/2 identifying an organizational entity, a physical location, or an individual 810 ù 4-44 VERSION 1.0 JUNE 1996

Segment: N4 Geographic Location Position: 270 Loop: N1 Level: Detail Usage: Optional Max Use: 1 Purpose: To specify the geographic place of the named party Syntax Notes: 1 If N406 is present, then N405 is required. Semantic Notes: Comments: 1 A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location. 2 N402 is required only if city name (N401) is in the U.S. or Canada. Notes: Invoice line item party address geographic location information. Data Element Summary Ref. Data Des. Element Name Attributes N401 19 City Name O AN 2/30 Free-form text for city name N402 156 State or Province O ID 2/2 (Standard State/Province) as defined by appropriate government agency N403 116 Postal O ID 3/15 defining international postal zone code excluding punctuation and blanks (zip code for United States) N404 26 Country O ID 2/3 identifying the country N405 309 Location Qualifier X ID 1/2 identifying type of location N406 310 Location Identifier O AN 1/30 which identifies a specific location JUNE 1996 VERSION 1.0 810 ù 4-45

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: REF Reference Identification Position: 280 Loop: N1 Level: Detail Usage: Optional Max Use: 12 Purpose: To specify identifying information Syntax Notes: 1 At least one of REF02 or REF03 is required. 2 If either C04003 or C04004 is present, then the other is required. 3 If either C04005 or C04006 is present, then the other is required. Semantic Notes: 1 REF04 contains data relating to the value cited in REF02. Comments: Notes: Reference numbers associated with the invoice line item party. Data Element Summary Ref. Data Des. Element Name Attributes M/U REF01 128 Reference Identification Qualifier M ID 2/3 Qualifying the Reference Identification Valid Value(s): VR Vendor ID Number REF02 127 Reference Identification X AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier REF03 352 Description X AN 1/80 A free-form description to clarify the related data elements and their content X REF04 C040 Reference Identifier O To identify one or more reference numbers or identification numbers as specified by the Reference Qualifier X C04001 128 Reference Identification Qualifier M ID 2/3 Qualifying the Reference Identification X C04002 127 Reference Identification M AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier X C04003 128 Reference Identification Qualifier X ID 2/3 Qualifying the Reference Identification X C04004 127 Reference Identification X AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier X C04005 128 Reference Identification Qualifier X ID 2/3 Qualifying the Reference Identification X C04006 127 Reference Identification X AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier 810 ù 4-46 VERSION 1.0 JUNE 1996

Segment: DMG Demographic Information Position: 295 Loop: N1 Level: Detail Usage: Optional Max Use: 1 Purpose: To supply demographic information Syntax Notes: 1 If either DMG01 or DMG02 is present, then the other is required. Semantic Notes: 1 DMG02 is the date of birth. 2 DMG07 is the country of citizenship. 3 DMG09 is the age in years. Comments: Notes: Invoice line item party demographic information. Data Element Summary Ref. Data Des. Element Name Attributes X DMG01 1250 Date Time Period Format Qualifier X ID 2/3 indicating the date format, time format, or date and time format X DMG02 1251 Date Time Period X AN 1/35 Expression of a date, a time, or range of dates, times or dates and times X DMG03 1068 Gender O ID 1/1 indicating the sex of the individual X DMG04 1067 Marital Status O ID 1/1 defining the marital status of a person DMG05 1109 Race or Ethnicity O ID 1/1 indicating the racial or ethnic background of a person; it is normally self-reported; Under certain circumstances this information is collected for United States Government statistical purposes Valid Value(s): A Asian or Pacific Islander B Black C Caucasian D Subcontinent Asian American E Other Race or Ethnicity F Asian Pacific American G Native American H Hispanic I American Indian or Alaskan Native J Native Hawaiian N Black (Non-Hispanic) A person having origins in any of the black racial groups of Africa who is not of Mexican, Puerto Rican, Cuban, or South or Central American origin or of any other Spanish culture or origin regardless of race O White (Non-Hispanic) A person having origins in any of the original peoples of Europe, North Africa, or the Middle East who is not of Mexican, Puerto Rican, Cuban, or South or Central American origin or of any other JUNE 1996 VERSION 1.0 810 ù 4-47

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Spanish culture or origin regardless of race P Pacific Islander X DMG06 1066 Citizenship Status O ID 1/2 indicating citizenship status X DMG07 26 Country O ID 2/3 identifying the country X DMG08 659 Basis of Verification O ID 1/2 indicating the basis of verification X DMG09 380 Quantity O R 1/15 Numeric value of quantity 810 ù 4-48 VERSION 1.0 JUNE 1996

Segment: TDS Total Monetary Value Summary Position: 010 Loop: Level: Summary Usage: Mandatory Max Use: 1 Purpose: To specify the total invoice discounts and amounts Syntax Notes: Semantic Notes: 1 TDS01 is the total amount of invoice (including charges, less allowances) before terms discount (if discount is applicable). 2 TDS02 indicates the amount upon which the terms discount amount is calculated. 3 TDS03 is the amount of invoice due if paid by terms discount due date (total invoice or installment amount less cash discount). 4 TDS04 indicates the total amount of terms discount. Comments: 1 TDS02 is required if the dollar value subject to discount is not equal to the dollar value of TDS01. Notes: Summary of the invoice detail amounts. Data Element Summary Ref. Data Des. Element Name Attributes M/U TDS01 610 Amount M N2 1/15 Monetary amount TDS02 610 Amount O N2 1/15 Monetary amount TDS03 610 Amount O N2 1/15 Monetary amount TDS04 610 Amount O N2 1/15 Monetary amount JUNE 1996 VERSION 1.0 810 ù 4-49

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: SAC Service, Promotion, Allowance, or Charge Information Position: 040 Loop: SAC Level: Summary Usage: Optional Max Use: 1 Purpose: To request or identify a service, promotion, allowance, or charge; to specify the amount or percentage for the service, promotion, allowance, or charge Syntax Notes: 1 At least one of SAC02 or SAC03 is required. 2 If either SAC03 or SAC04 is present, then the other is required. 3 If either SAC06 or SAC07 is present, then the other is required. 4 If either SAC09 or SAC10 is present, then the other is required. 5 If SAC11 is present, then SAC10 is required. 6 If SAC13 is present, then at least one of SAC02 or SAC04 is required. 7 If SAC14 is present, then SAC13 is required. Semantic Notes: 1 If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 is required. 2 SAC05 is the total amount for the service, promotion, allowance, or charge. If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence. 3 SAC08 is the allowance or charge rate per unit. 4 SAC10 and SAC11 is the quantity basis when the allowance or charge quantity is different from the purchase order or invoice quantity. SAC10 and SAC11 used together indicate a quantity range, which could be a dollar amount, that is applicable to service, promotion, allowance, or charge. 5 SAC13 is used in conjunction with SAC02 or SAC04 to provide a specific reference number as identified by the code used. 6 SAC14 is used in conjunction with SAC13 to identify an option when there is more than one option of the promotion. Comments: 1 SAC04 may be used to uniquely identify the service, promotion, allowance, or charge. In addition, it may be used in conjunction to further the code in SAC02. 2 In some business applications, it is necessary to advise the trading partner of the actual dollar amount that a particular allowance, charge, or promotion was based on to reduce ambiguity. This amount is commonly referred to a "Dollar Basis Amount". It is represented in the SAC segment in SAC10 using the qualifier "DO" - Dollars in SAC09. Notes: Additional service/promotion allowance/charge information not associated with an invoice line item. Data Element Summary Ref. Data Des. Element Name Attributes M/U SAC01 248 Allowance or Charge Indicator M ID 1/1 which indicates an allowance or charge for the service specified Valid Value(s): A Allowance C Charge N No Allowance or Charge SAC02 1300 Service, Promotion, Allowance, or Charge X ID 4/4 identifying the service, promotion, allowance, or charge Valid Value(s): D040 Finance Charge 810 ù 4-50 VERSION 1.0 JUNE 1996

SAC03 559 Agency Qualifier X ID 2/2 identifying the agency assigning the code values SAC04 1301 Agency Service, Promotion, Allowance, or X AN 1/10 Charge Agency maintained code identifying the service, promotion, allowance, or charge SAC05 610 Amount O N2 1/15 Monetary amount SAC06 378 Allowance/ Charge Percent Qualifier X ID 1/1 indicating on what basis allowance or charge percent is calculated SAC07 332 Percent X R 1/6 Percent expressed as a percent SAC08 118 Rate O R 1/9 Rate expressed in the standard monetary denomination for the currency specified SAC09 355 Unit or Basis for Measurement X ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken SAC10 380 Quantity X R 1/15 Numeric value of quantity SAC11 380 Quantity O R 1/15 Numeric value of quantity SAC12 331 Allowance or Charge Method of Handling O ID 2/2 indicating method of handling for an allowance or charge SAC13 127 Reference Identification X AN 1/30 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier SAC14 770 Option Number O AN 1/20 A unique number identifying available promotion or allowance options when more than one is offered SAC15 352 Description O AN 1/80 A free-form description to clarify the related data elements and their content JUNE 1996 VERSION 1.0 810 ù 4-51

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: TXI Tax Information Position: 050 Loop: SAC Level: Summary Usage: Optional Max Use: 10 Purpose: To specify tax information Syntax Notes: 1 At least one of TXI02 TXI03 or TXI06 is required. 2 If either TXI04 or TXI05 is present, then the other is required. 3 If TXI08 is present, then TXI03 is required. Semantic Notes: 1 TXI07 is a code indicating the relationship of the price or amount to the associated segment. Comments: 1 TXI02 is the monetary amount of the tax. 2 TXI03 is the tax percent expressed as a decimal. 3 If TXI02 is not used, then the application of the percent (TXI03) is between trading partners. Notes: Tax information related to an additional service/promotion allowance/charge. Data Element Summary Ref. Data Des. Element Name Attributes M/U TXI01 963 Tax Type M ID 2/2 specifying the type of tax See Data Element 963 for all possible tax type codes. Only the main tax types are listed here. Valid Value(s): GR Gross Receipts Tax ST State Sales Tax TXI02 782 Monetary Amount X R 1/15 Monetary amount TXI03 954 Percent X R 1/10 Percentage expressed as a decimal TXI04 955 Tax Jurisdiction Qualifier X ID 2/2 identifying the source of the data used in tax jurisdiction code Valid Value(s): CD Customer defined VD Vendor defined VE Vertex TXI05 956 Tax Jurisdiction X AN 1/10 identifying the taxing jurisdiction TXI06 441 Tax Exempt X ID 1/1 identifying exemption status from sales and use tax TXI07 662 Relationship O ID 1/1 indicating the relationship between entities TXI08 828 Dollar Basis For Percent O R 1/9 Dollar basis to be used in the percent calculation of the allowance, charge or tax TXI09 325 Tax Identification Number O AN 1/20 Number assigned to a purchaser (buyer, orderer) by a taxing jurisdiction (state, county, etc.); often called a tax exemption number or certificate number 810 ù 4-52 VERSION 1.0 JUNE 1996

TXI10 350 Assigned Identification O AN 1/20 Alphanumeric characters assigned for differentiation within a transaction set JUNE 1996 VERSION 1.0 810 ù 4-53

VERSION 003 ù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE Segment: CTT Transaction Totals Position: 070 Loop: Level: Summary Usage: Optional Max Use: 1 Purpose: To transmit a hash total for a specific element in the transaction set Syntax Notes: 1 If either CTT03 or CTT04 is present, then the other is required. 2 If either CTT05 or CTT06 is present, then the other is required. Semantic Notes: Comments: 1 This segment is intended to provide hash totals to validate transaction completeness and correctness. Notes: Invoice transaction totals. Data Element Summary Ref. Data Des. Element Name Attributes M/U CTT01 354 Number of Line Items M N0 1/6 Total number of line items in the transaction set CTT02 347 Hash Total O R 1/10 Sum of values of the specified data element. All values in the data element will be summed without regard to decimal points (explicit or implicit) or signs. Truncation will occur on the left most digits if the sum is greater than the maximum size of the hash total of the data element. Example: -.0018 First occurrence of value being hashed..18 Second occurrence of value being hashed. 1.8 Third occurrence of value being hashed. 18.01 Fourth occurrence of value being hashed. ------- 1855 Hash total prior to truncation. 855 Hash total after truncation to three-digit field. CTT03 81 Weight X R 1/10 Numeric value of weight CTT04 355 Unit or Basis for Measurement X ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken CTT05 183 Volume X R 1/8 Value of volumetric measure CTT06 355 Unit or Basis for Measurement X ID 2/2 specifying the units in which a value is being expressed, or manner in which a measurement has been taken CTT07 352 Description O AN 1/80 A free-form description to clarify the related data elements and their content 810 ù 4-54 VERSION 1.0 JUNE 1996

Segment: SE Transaction Set Trailer Position: 080 Loop: Level: Summary Usage: Mandatory Max Use: 1 Purpose: To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments) Syntax Notes: Semantic Notes: Comments: 1 SE is the last segment of each transaction set. Data Element Summary Ref. Data Des. Element Name Attributes M/U SE01 96 Number of Included Segments M N0 1/10 Total number of segments included in a transaction set including ST and SE segments M/U SE02 329 Transaction Set Control Number M AN 4/9 Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set JUNE 1996 VERSION 1.0 810 ù 4-55