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EDI 210 Generator

Motor Carrier Freight Details & Invoice — X12 004010

Next Control #

000000001

Interchange Header ISA / GS

Sender ID *

Receiver ID *

Control Number

Invoice Header B3

Invoice Number *

PRO Number *

Invoice Date *

SCAC *

Payment Terms *

Shipper N1*SH / N3 / N4

Company Name *

Street Address *

City *

State *

ZIP *

Consignee N1*CN / N3 / N4

Company Name *

Street Address *

City *

State *

ZIP *

Commodity Lines L0 / L5

Line #	Description	Weight	Wt Qual	Pieces	Pack Code

Charge Lines L1

Line #	Rate	Rate Qualifier	Charge Amount	Description

Totals L3

Total Weight (lbs)

0

Total Charges ($)

0.00

Segment Count

—

EDI Output X12 004010 · 210