Talbrook claim file (844-style, illustrative)
Talbrook October claim
| spa_no | dist_invoice_no | invoice_date | ship_date | end_customer_no | end_customer_name | ship_to_zip | tbk_part | qty | uom | book_cost | authorized_net | debit_per_unit | extended_debit |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPA-2291 | M-91455 | 2026-09-08 | 2026-09-08 | EC-01 | STILLCREEK FABRICATION | 77029 | TB-TC-3300 | 40 | EA | 13.50 | 540.00 | ||
| SPA-2291 | M-91519 | 2026-09-17 | 2026-09-17 | EC-01 | STILLCREEK FABRICATION | 77029 | TB-TC-2150 | 60 | EA | 11.40 | 684.00 | ||
| SPA-2291 | M-91590 | 2026-09-29 | 2026-09-29 | EC-01 | STILLCREEK FABRICATION | 77029 | TB-TC-2150 | 150 | EA | 11.40 | 1710.00 |
C5 ($1,080.00) is held out until a person confirms its SPA; confirm it and the claim becomes $4,014.00.
Segment view (illustrative 844-style)
# Illustrative 844-style layout; a real map follows the trading partner's implementation guide. -- claim line 1 N1 end customer Stillcreek Fabrication (fictional) LIN item TB-TC-3300 QTY quantity 40 EA REF references SPA SPA-2291 · invoice M-91455 DTM dates invoice 2026-09-08 · ship 2026-09-08 AMT amount 540.00 CON contract SPA-2291 -- claim line 2 N1 end customer Stillcreek Fabrication (fictional) LIN item TB-TC-2150 QTY quantity 60 EA REF references SPA SPA-2291 · invoice M-91519 DTM dates invoice 2026-09-17 · ship 2026-09-17 AMT amount 684.00 CON contract SPA-2291 -- claim line 3 N1 end customer Stillcreek Fabrication (fictional) LIN item TB-TC-2150 QTY quantity 150 EA REF references SPA SPA-2291 · invoice M-91590 DTM dates invoice 2026-09-29 · ship 2026-09-29 AMT amount 1710.00 CON contract SPA-2291
Illustrative layout · fictional data · Precision Tolerance AI Rebate Desk demo