REPORT SAMPLES EDI X.12 4030 Appendix G - Sample Returns (v2.0)

Appendix G - Sample Returns (v2.0)
REPORT SAMPLES
EDI X.12 4030
G-1
December 2004
Carrier (Pipeline,
Barge, Marine Vessel
Report Sample
G-2
December 2004
G-3
December 2004
G-4
December 2004
G-5
December 2004
G-6
December 2004
Carrier Report Sample Map Flow
NOTE: The following map is to illustrate an example mapping and is not necessarily inclusive of all possible data
elements. Carriage returns and line numbers are inserted for readability only. The carriage returns and line numbers
should not be part of the transmitted file.
The following Example represents NO ACTIVITY for the Carrier.
1.
2.
3.
ISA~03~S000012002~01~MYPASSWORD~32~381112233
~01~805340486
GS~TF~MI551105~805340486050~20040320~1015~1010~X~004030\
ST~813~1101\
~040320~1015~|~00403~000000010~0~T~^\
4.
5.
6.
7.
8.
9.
BTI~T6~050~47~MITREAS050~20040320~CARR~24~381112233~49~12345678~~~00\
DTM~194~20040229\
TIA~5000~~2.0\
N1~TP~Carrie Pipeline\
PER~CN~Carrie Smith~TE~5175555555~FX~5175555556\
PER~EA~ Joe [email protected]\
10.
11.
12.
13.
14.
TFS~T2~CCR~FW~CA12345678\
REF~BE~1\
SE~10~1101\
GE~1~1010\
IEA~1~000000010\
End of NO ACTIVITY Submission
The following Example represents activity for the Carrier.
1.
ISA~03~S000012002~01~MYPASSWORD~32~381112233
~01~805340486
2.
GS~TF~MI551105~805340486050~20040320~1015~1010~X~004030\
3.
ST~813~1101\
~040320~1015~|~00403~000000010~0~T~^\
4.
5.
6.
7.
8.
9.
10.
11.
BTI~T6~050~47~MITREAS050~20040320~CARR~24~381112233~49~12345678~~~00\
DTM~194~20040229\
TIA~5000~~2.0\
N1~TP~Carrie Pipeline\
N3~23456 Pipeline Drive\
N4~Jackson~MI~40000~US\
PER~CN~Carrie Smith~TE~5175555555~FX~5175555556\
PER~EA~ Joe [email protected]\
12.
13.
TFS~T2~ CCR~FW~CA12345678\
REF~BE~0\
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
TFS~T3~14C~PG~160~94~PL\
N1~OT~~T38MI9999\
N1~SE~Diesel Vin~24~380000000\
N1~BY~SupplierA~24~389998877\
N1~DT~~TC~T38MI0001\
FGS~D~BM~111100\
DTM~095~20040317\
TIA~5005~~~650000~GA\
TIA~5006~~~~GA\
TIA~5007~~~~GA\
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
TFS~T3~14A~PG~160~94~PL\
N1~OT~~T38MI9999\
N1~SE~Diesel Vin~24~380000000\
N1~BY~SupplierA~24~389998877\
N1~DT~~TC~T44NY0000\
FGS~D~BM~C111126\
DTM~095~20040302\
TIA~5005~~~250000~GA\
TIA~5006~~~~GA\
TIA~5007~~~~GA\
34.
35.
36.
TFS~T3~14B~PG~065~94~PL\
N1~OT~~T98TX1111\
N1~SE~Diesel Vin~24~380000000\
G-7
December 2004
37.
38.
39.
40.
41.
42.
43.
N1~BY~SupplierA~24~389998877\
N1~DT~~TC~T38MI0001\
FGS~D~BM~TX0496\
DTM~095~20040306\
TIA~5005~~~1500000~GA\
TIA~5006~~~~GA\
TIA~5007~~~~GA\
44.
45.
46.
SE~41~1101\
GE~1~0010\
IEA~1~000000001\
G-8
December 2004
Importer
Report Sample
G-9
December 2004
G-10
December 2004
G-11
December 2004
G-12
December 2004
G-13
December 2004
G-14
December 2004
Importer Report Sample Map Flow
NOTE: The following map is to illustrate an example mapping and is not necessarily inclusive of all possible data
elements. Carriage returns and line numbers are inserted for readability only. The carriage returns and line numbers
should not be part of the transmitted file.
The following Example represents NO ACTIVITY for the Importer
1.
2.
3.
ISA~03~0044444444~01~MYPASSWORD~32~044444444
~01~805340486
GS~TF~MI551105~805340486050~20040420~1015~1010~X~004030\
ST~813~1101\
~040420~1015~|~00403~000000010~0~T~^\
4.
5.
6.
7.
8.
9.
BTI~T6~050~47~MITREAS050~20040420~FUEL~24~044444444~49~87654321~~~00\
DTM~194~20040331\
TIA~5000~~2.0\
N1~TP~Fuel Importer\
PER~CN~Mrs Robinson~TE~5175555555~FX~5175555556\
PER~EA~ Joe [email protected]\
10.
11.
12.
13.
14.
TFS~T2~SIR ~FW~TW87654321\
REF~BE~1\
SE~10~1101\
GE~1~1010\
IEA~1~000000010\
End of NO ACTIVITY Submission
The following Example represents activity for the Importer.
1.
ISA~03~0044444444~01~MYPASSWORD~32~044444444
~01~805340486
2.
GS~TF~MI551105~805340486050~20040420~1015~1010~X~004030\
3.
ST~813~1101\
~040420~1015~|~00403~000000010~0~T~^\
4.
5.
6.
7.
8.
9.
BTI~T6~050~47~MITREAS050~20040420~FUEL~24~044444444~49~87654321~~~00\
DTM~194~20040331\
TIA~5000~~2.0\
N1~TP~Fuel Importer\
PER~CN~Mrs Robinson~TE~5175555555~FX~5175555556\
PER~EA~ Joe [email protected]\
10.
11.
TFS~T2~SIR ~FW~TW87654321\
REF~BE~0\
12.
13.
14.
TFS~T3~S03A~PG~065~94~CE\
FGS~S\
TIA~5006~~~100~GA\
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
TFS~T3~3A~PG~065~94~J_\
N1~SF~WI\
N1~SE~Wisconsin Supplier~24~390000000\
N1~CA~Diesel Vin~24~380000000\
N1~ST~MI\
FGS~D~BM~48436\
DTM~095~20040112\
TIA~5005~~~17500~GA\
TIA~5006~~~17500~GA\
TIA~5007~~~~GA\
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
TFS~T3~5~PG~160~94~J_\
N1~OT~~T02WI1234\
N1~CA~Diesel Vin~24~380000000\
N1~BY~Hammer Inc~24~380000001\
N1~ST~MI\
FGS~D~BM~44397\
DTM~095~20040210\
TIA~5005~~~7000~GA\
TIA~5006~~~7000~GA\
TIA~5007~~~7000~GA\
35.
TFS~T3~5~PG~160~94~J_\
G-15
December 2004
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
N1~SF~WI\
N1~CA~Diesel Vin~24~380000000\
N1~BY~Hammer Inc~24~380000001\
N1~ST~MI\
FGS~D~BM~67891\
DTM~095~20040312\
TIA~5005~~~6400~GA\
TIA~5006~~~6400~GA\
TIA~5007~~~6400~GA\
56.
57.
58.
SE~67~1101\
GE~1~0010\
IEA~1~000000001\
TFS~T3~8~PG~065~94~J_\
N1~SF~MI\
N1~CA~Diesel Vin~24~380000000\
N1~BY~Federal Dept of Defense~24~100000000\
N1~ST~MI\
FGS~D~BM~974381\
DTM~095~20040217\
TIA~5005~~~4000~GA\
TIA~5006~~~4000~GA\
TIA~5007~~~4000~GA\
G-16
December 2004
Exporter
Report Sample
G-17
December 2004
G-18
December 2004
G-19
December 2004
G-20
December 2004
Exporter Report Sample Map Flow
NOTE: The following map is to illustrate an example mapping and is not necessarily inclusive of all possible data
elements. Carriage returns and line numbers are inserted for readability only. The carriage returns and line numbers
should not be part of the transmitted file.
The following Example represents NO ACTIVITY for the Exporter
1.
2.
3.
ISA~03~0007777777~01~MYPASSWORD~32~007777777
~01~805340486
GS~TF~MI551105~805340486050~20040420~1015~1010~X~004030\
ST~813~1101\
~040420~1015~|~00403~000000010~0~T~^\
4.
5.
6.
7.
8.
BTI~T6~050~47~MITREAS050~20040420~Fuel~24~007777777~49~12345678~~~00\
DTM~194~20040331\
TIA~5000~~2.0\
N1~TP~Fuel to Travel\
PER~CN~Uncle Albert~TE~5175552222~FX~5175552223\
9.
10.
11.
12.
13.
TFS~T2~SER~FW~EX12345678\
REF~BE~1\
SE~10~1101\
GE~1~1010\
IEA~1~000000010\
End of NO ACTIVITY Submission
The following Example represents activity for the Exporter.
1.
ISA~ 03~0007777777~01~MYPASSWORD~32~007777777
~01~805340486
2.
GS~TF~MI551105~805340486050~20040420~1015~1010~X~004030\
3.
ST~813~1101\
~040420~1015~|~00403~000000010~0~T~^\
4.
5.
6.
7.
8.
BTI~T6~050~47~MITREAS050~20040420~Fuel~24~007777777~49~12345678~~~00\
DTM~194~20040331\
TIA~5000~~2.0\
N1~TP~Fuel to Travel\
PER~CN~Uncle Albert~TE~5175552222~FX~5175552223\
9.
10.
TFS~T2~SER~FW~EX12345678\
REF~BE~0\~BE~0\
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
TFS~T3~7A~PG~065~94~J_\
N1~OT~~TC~T38MI0000\
N1~CA~Diesel Vin~24~380000000\
N1~BY~Smile Away Co~24~991234567\
N1~ST~IN\
FGS~D~BM~A1256\
DTM~095~20040112\
TIA~5005~~~10000~GA\
TIA~5006~~~10000~GA\
TIA~5007~~~10000~GA\
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
TFS~T3~7B~PG~130~94~J_\
N1~OT~~T38MI0000\
N1~CA~Diesel Vin~24~380000000\
N1~BY~Jet Co~24~002222222\
N1~ST~IN\
FGS~D~BM~B123456\
DTM~095~20040112\
TIA~5005~~~12000~GA\
TIA~5006~~~12000~GA\
TIA~5007~~~12000~GA\
31.
32.
33.
SE~41~1101\
GE~1~0010\
IEA~1~000000001\
G-21
December 2004
Transporter
Report Sample
G-22
December 2004
G-23
December 2004
G-24
December 2004
G-25
December 2004
Transporter Report Sample Map Flow
NOTE: The following map is to illustrate an example mapping and is not necessarily inclusive of all possible data
elements. Carriage returns and line numbers are inserted for readability only. The carriage returns and line numbers
should not be part of the transmitted file.
The following Example represents NO ACTIVITY for the Transporter.
1.
2.
3.
ISA~03~0380000000~01~MYPASSWORD~32~380000000
~01~805340486
GS~TF~MI551105~805340486050~20040420~1015~1010~X~004030\
ST~813~1101\
~040420~1015~|~00403~000000010~0~T~^\
4.
5.
6.
7.
8.
BTI~T6~050~47~MITREAS050~20040420~Dies~24~380000000~49~12345678~~~00\
DTM~194~20040331\
TIA~5000~~2.0\
N1~TP~Diesel Vin\
PER~CN~CeeCee Smart~TE~5175555555~FX~5175555556\
9.
10.
11.
12.
13.
TFS~T2~CCR~FW~TR12345678\
REF~BE~1\
SE~10~1101\
GE~1~1010\
IEA~1~000000010\
End of NO ACTIVITY Submission
The following Example represents activity for the Transporter.
1.
2.
3.
ISA~03~0380000000~01~MYPASSWORD~32~380000000
~01~805340486
GS~TF~MI551105~805340486050~20040420~1015~1010~X~004030\
ST~813~1101\
4.
5.
6.
7.
8.
BTI~T6~050~47~MITREAS050~20040420~Dies~24~380000000~49~12345678~~~00\
DTM~194~20040331\
TIA~5000~~2.0\
N1~TP~Diesel Vin\
PER~CN~CeeCee Smart~TE~5175555555~FX~5175555556\
9.
10.
TFS~T2~CCR~FW~TR12345678\
REF~BE~0\
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
TFS~T3~14A~PG~160~94~J_\
N1~OT~~T38MI9999\
N1~SE~Bobs Inc~24~123456789\
N1~CI~Bobs Inc~24~123456789\
N1~BY~Jones Fuel Stop~24~234567891\
N1~ST~OH\
N4~Cats~OH\
FGS~D~BM~5222\
DTM~095~20040110\
TIA~5005~~~~GA\
TIA~5006~~~1111~GA\
TIA~5007~~~~GA\
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
TFS~T3~14B~PG~228~94~J_\
N1~SF~IN\
N1~SE~Brown and Sons~24~987654321\
N1~CI~Brown and Sons~24~987654321\
N1~BY~Daves Oil~24~876543219\
N1~ST~MI\
N4~JoJo~MI\
FGS~D~BM~8395\
DTM~095~20040104\
TIA~5005~~~~GA\
TIA~5006~~~7501~GA\
TIA~5007~~~~GA\
35.
36.
37.
SE~32~1101\
GE~1~0010\
IEA~1~000000001\
G-26
~040420~1015~|~00403~000000010~0~T~^\
December 2004
Terminal Operator
Report Sample
G-27
December 2004
G-28
December 2004
G-29
December 2004
G-30
December 2004
Terminal Operator Report Sample Map Flow
NOTE: The following map is to illustrate an example mapping and is not necessarily inclusive of all possible data
elements. Carriage returns and line numbers are inserted for readability only. The carriage returns and line numbers
should not be part of the transmitted file.
The following Example represents NO ACTIVITY for the Terminal.
1.
2.
3.
ISA~03~0381036128~01~MYPASSWORD~32~381036128
~01~805340486
GS~TF~MI551105~805340486050~20040420~1015~1010~X~004030\
ST~813~1101\
~040420~1015~|~00403~000000010~0~T~^\
4.
5.
6.
7.
8.
9.
BTI~T6~050~47~MITREAS050~20040420~SALL~24~381036128~49~00001234~~~00\
DTM~194~20040331\
TIA~5000~~2.0\
N1~TP~Sallys Terminal\
PER~CN~Sally Sand~TE~5175775559~FX~5175775510\
PER~EA~ Joe [email protected]\
10.
11.
12.
13.
14.
TFS~T2~TOR~~~TC~T38MI2209\
REF~BE~1\
SE~10~1101\
GE~1~1010\
IEA~1~000000010\
End of NO ACTIVITY Submission
The following Example represents activity for the Terminal.
1.
ISA~03~0381036128~01~MYPASSWORD~32~381036128
~01~805340486
2.
GS~TF~MI551105~805340486050~20040420~1015~1010~X~004030\
3.
ST~813~1101\
~040420~1015~|~00403~000000010~0~T~^\
4.
5.
6.
7.
8.
9.
BTI~T6~050~47~MITREAS050~20040420~SALL~24~381036128~49~00001234~~~00\
DTM~194~20040331\
TIA~5000~~2.0\
N1~TP~Sallys Terminal\
PER~CN~Sally Sand~TE~5175775559~FX~5175775510\
PER~EA~ Joe [email protected]\
10.
11.
12.
13.
14.
15.
TFS~T2~TOR~~~TC~T38M82209\
DTM~184~20040231\
FGS~BI~PG~065\
TIA~5002~~~13000000~GA\
FGS~EI~PG~065\
TIA~5002~~~13992000~GA\
16.
17.
18.
19.
20.
21.
22.
23.
24.
TFS~ T3~15A~PG~065~94~PL\
N1~ON~Oil Supplier~24~385591234\
N1~CA~Pipeland Pipeline~24~096418982\
N1~DT~TC~T38MI2209\
FGS~D~BM~333333\
DTM~095~20040315\
TIA~5005~~~500000~GA\
TIA~5006~~~~GA\
TIA~5007~~~~GA\
25.
26.
27.
28.
29.
30.
31.
32.
33.
TFS~ T3~15A~PG~065~94~PL\
N1~ON~Grand Rapids Oil~24~381200113\
N1~CA~Pipeland Pipeline~24~096418982\
N1~DT~TC~T38MI2209\
FGS~D~BM~123111\
DTM~095~20040315\
TIA~5005~~~500000~GA\
TIA~5006~~~~GA\
TIA~5007~~~~GA\
34.
35.
36.
TFS~ T3~15A~PG~065~94~J_\
N1~OT~TC~T38MI2209\
N1~ON~Oil Supplier~24~385591234\
G-31
December 2004
37.
38.
39.
40.
41.
42.
43.
44.
N1~CA~Grand Rapids Oil~24~381200113\
N1~ST~MI\
N4~Jackson\
FGS~D~BM~053441\
DTM~095~20040315\
TIA~5005~~~99500~GA\
TIA~5006~~~100000~GA\
TIA~5007~~~~GA\
45.
46.
47.
SE~33~1101\
GE~1~0010\
IEA~1~000000001\
G-32
December 2004
Supplier Return
Sample
G-33
December 2004
G-34
December 2004
G-35
December 2004
G-36
December 2004
G-37
December 2004
G-38
December 2004
G-39
December 2004
Supplier Return Sample Map Flow
NOTE: The following map is to illustrate an example mapping and is not necessarily inclusive of all possible data
elements. Carriage returns and line numbers are inserted for readability only. The carriage returns and line numbers
should not be part of the transmitted file.
The following Example represents NO ACTIVITY for the SUPPLIER.
1.
2.
3.
ISA~03~0381036128~01~MYPASSWORD~32~381036128
~01~805340486
GS~TF~381036128~805340486050~20040420~1015~1010~X~004030\
ST~813~1101\
~040420~1015~|~00403~000000010~1~T~^\
4.
5.
6.
7.
8.
9.
BTI~T6~050~47~MITREAS050~20040420~SALL~24~381036128~49~00001234~~~00\
DTM~194~20040331\
TIA~5000~~2.0\
N1~TP~Sallys Terminal\
PER~CN~Sally Sand~TE~5175775559~FX~5175775510\
PER~EA~ Joe [email protected]\
10.
11.
12.
13.
14.
TFS~T2~SPS~FW~PS00005678\
REF~BE~1\
SE~10~1101\
GE~1~1010\
IEA~1~000000010\
End of NO ACTIVITY Submission
The following Example represents activity for the SUPPLIER.
1.
2.
3.
ISA~03~0381036128~01~MYPASSWORD~32~381036128
~01~805340486
GS~TF~381036128~805340486050~20040420~1015~1010~X~004030\
ST~813~1101\
4.
5.
6.
7.
8.
9.
BTI~T6~050~47~MITREAS050~20040420~SALL~24~381036128~49~00001234~~~00\
DTM~194~20040331\
TIA~5000~~2.0\
N1~TP~Sallys Terminal\
PER~CN~Sally Sand~TE~5175775559~FX~5175775510\
PER~EA~ Joe [email protected]\
10.
11.
TFS~T2~SPS~FW~PS00005678\
REF~BE~0\
12.
13.
14.
15.
16.
17.
TFS~ T3~S03A~PG~065~94~CE\
FGS~S\
TIA~5006~~~1500~GA\
TFS~ T3~S04A~PG~065~94~CE\
FGS~S\
TIA~5003~1500.00\
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
TFS~T3~11A~PG~065~94~J_\
N1~OT~~TC~T12OH1111\
N1~CA~ABC Fuel~387260244\
N1~BY~Sally Bulk~381036128\
N1~ST~OH\
N4~Dayton\
FGS~D~BM~064336\
DTM~095~20040320\
TIA~5005~~~5000~GA\
TIA~5006~~~5000~GA\
TIA~5007~~~5000~GA\
29.
30.
31.
32.
33.
34.
35.
36.
TFS~T3~11B~PG~065~94~J_\
N1~OT~~TC~T38MI2011\
N1~CA~ABC Fuel~387260244\
N1~BY~Sally Bulk~381036128\
N1~ST~OH\
N4~Dayton\
FGS~D~BM~064338\
DTM~095~20040320\
G-40
~040420~1015~|~00403~000000010~1~T~^\
December 2004
37.
38.
39.
TIA~5005~~~5000~GA\
TIA~5006~~~5000~GA\
TIA~5007~~~5000~GA\
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
TFS~ T3~3~PG~065~94~J_\
N1~SF~WI\
N4~Greenbay\
N1~SE~Sallys Bulk Storage~24~381036128\
N1~CA~ABC Fuel Transport~24~387260244\
N1~ST~MI\
N4~UP\
FGS~D~BM~064336\
DTM~095~20040320\
TIA~5005~~~12000~GA\
TIA~5006~~~12000~GA\
FGS~D~BM~064332\
DTM~095~20040322\
TIA~5005~~~12000~GA\
TIA~5006~~~12000~GA\
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
TFS~ T3~5~PG~065~94~J_\
N1~OT~TC~T38MI2209\
N1~CA~Inga Oil~24~380520751\
N1~BY~Igna Oil~24~380520751\
N1~ST~MI\
N4~Alma\
FGS~D~BM~111112\
DTM~095~20040316\
TIA~5005~~~6000~GA\
TIA~5006~~~6000~GA\
TIA~5007~~~6000~GA\
66.
67.
68.
69.
70.
71.
72.
73.
74.
75.
76.
77.
78.
79.
80.
81.
82.
TFS~ T3~5~PG~065~94~J_\
N1~SF~WI\
N4~Green Bay\
N1~CA~ABC Fuel~24~387260244\
N1~BY~Joe's Oil Mart~24~133456789\
N1~ST~MI\
N4~Up\
FGS~D~BM~064332\
DTM~095~20040320\
TIA~5005~~~12000~GA\
TIA~5006~~~12000~GA\
TIA~5007~~~12000~GA\
FGS~D~BM~064336\
DTM~095~20040322\
TIA~5005~~~12000~GA\
TIA~5006~~~12000~GA\
TIA~5007~~~12000~GA\
83.
84.
85.
SE~81~1102\
GE~1~1020\
IEA~1~000000020\
G-41
December 2004