IMPLEMENTATION GUIDELINES FOR ANSI ASC X12 EDI CONVENTIONS COMMODITY PROCUREMENT ACCOUNT ANALYSIS (822) TRANSACTION SET

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1 IMPLEMENTATION GUIDELINES FOR ANSI ASC X12 EDI CONVENTIONS COMMODITY PROCUREMENT ACCOUNT ANALYSIS (822) TRANSACTION SET FCA US INFORMATION & COMMUNICATION TECHNOLOGY MANAGEMENT ANSI ASC X12 VERSION/RELEASE

2 822 Account Analysis Introduction: Functional Group ID=AA This X12 Transaction Set contains the format and establishes the data contents of the Account Analysis Transaction Set (822) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to transmit detailed balance, service charge and adjustment detail primarily from a bank to its corporate clients. However, this transaction set can also be used between or within corporations. Notes: History of Change: 10/01/2008: Transition to Chrysler LLC with removal of references to Daimler. 07/14/2010: Name change from Chrysler LLC to Chrysler Updated Address 12/13/2011: Corrected the version release in the guide. It should be not /03/2015: Name Change To FCA US Heading: Page Pos. Seg. Base User Loop Notes and No. No. ID Name Guide Status Max.Use Repeat Comments ST Transaction Set Header M M BGN Beginning Segment M M DTM Date/Time Reference M M 3 n CUR Currency O 1 n2 LOOP ID - N N1 Name O 1 n N2 Additional Name Information O Not N3 Address Information O N4 Geographic Location O PER Administrative Communications Contact O 3 LOOP ID - RTE > RTE Rate Information O Not 1 n DTM Date/Time Reference O Not 1 Detail: 02/03/2015 V/R FCA US

3 Page Pos. Seg. Base User Loop Notes and No. No. ID Name Guide Status Max.Use Repeat Comments LOOP ID - ENT > ENT Entity M M 1 n5 LOOP ID - N1 > N1 Name O 1 n N2 Additional Name Information O Not N3 Address Information O N4 Geographic Location O PER Administrative Communications Contact O Not 3 LOOP ID - ACT > ACT Account Identification O CUR Currency O Not 1 n ADJ Adjustments to Balances or Services O Not 1000 LOOP ID - RTE > RTE Rate Information O Not 1 n DTM Date/Time Reference O Not 1 LOOP ID - LX > LX Assigned Number O 1 n BLN Balance Information M M >1 n DTM Date/Time Reference O Not 5 n11 LOOP ID - SER > SER Service Charges O CTP Pricing Information O Not DTM Date/Time Reference O SE Transaction Set Trailer M M 1 Transaction Set Notes 1. At least one DTM segment, for the period-ending date, must be used. Others are period-starting date and statement-issued date. 2. This CUR segment identifies the default currency for the entire account analysis. 3. The N1 segment identifies the forwarder of this transaction. Where the forwarder and the financial institution identified in elements ENT02-04 are different entities, the use of this segment is recommended. 4. This RTE segment identifies the default rate(s) for the entire account analysis. 5. The ENT segment provides numeric identification of the originating financial institution and the receiving corporate entity, related to specific account(s). 6. This N1 is to define the originating financial institution and to define the receiving entity associated with the financial information reported. 7. This CUR segment overrides for a particular account the default currency identified in Table This RTE segment overrides for a particular account the default rate(s) identified in Table The LX segment is used only as a means to start a loop containing balance information. Multiple balances for the same period can be reported within a single occurrence of the LX loop. 10. BLN04 through BLN06 are not recommended for usage in transaction set 822. The time period of the 02/03/2015 V/R FCA US

4 analysis is defined in the DTM segment (position 2/1300). 11. The DTM segment is used to reflect the time period of the analysis. 02/03/2015 V/R FCA US

5 Segment: ST Transaction Set Header Position: 0100 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) is used by the translation routines of the interchange partners to select the appropriate transaction set definition (e.g., 810 selects the Invoice Transaction Set). 2 The implementation convention reference (ST03) is used by the translation routines of the interchange partners to select the appropriate implementation convention to match the transaction set definition. Comments: ST Transaction Set Identifier Code M 1 ID 3/3 M Code uniquely identifying a Transaction Set 822 Account Analysis ST Transaction Set Control Number M 1 AN 4/9 M Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set ST Implementation Convention Reference O 1 AN 1/35 Not 02/03/2015 V/R FCA US

6 Segment: BGN Beginning Segment Position: 0200 Loop: Level: Heading Usage: Mandatory Max Use: 1 Purpose: To indicate the beginning of a transaction set Syntax Notes: 1 If BGN05 is present, then BGN04 is required. Semantic Notes: 1 BGN02 is the transaction set reference number. 2 BGN03 is the transaction set date. 3 BGN04 is the transaction set time. 4 BGN05 is the transaction set time qualifier. 5 BGN06 is the transaction set reference number of a previously sent transaction affected by the current transaction. Comments: BGN Transaction Set Purpose Code M 1 ID 2/2 M Code identifying purpose of transaction set 00 Original BGN Reference Identification M 1 AN 1/50 M Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier BGN Date M 1 DT 8/8 M Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year BGN Time X 1 TM 4/8 Not BGN Time Code O 1 ID 2/2 Not BGN Reference Identification O 1 AN 1/50 Not BGN Transaction Type Code O 1 ID 2/2 Not BGN Action Code O 1 ID 1/2 Not BGN Security Level Code O 1 ID 2/2 Not 02/03/2015 V/R FCA US

7 Segment: DTM Date/Time Reference Position: 0300 Loop: Level: Heading Usage: Mandatory Max Use: 3 Purpose: To specify pertinent dates and times Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required. 2 If DTM04 is present, then DTM03 is required. 3 If either DTM05 or DTM06 is present, then the other is required. Semantic Notes: Comments: DTM Date/Time Qualifier M 1 ID 3/3 M Code specifying type of date or time, or both date and time 434 Statement DTM Date X 1 DT 8/8 Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year DTM Time X 1 TM 4/8 Not DTM Time Code O 1 ID 2/2 Not DTM Date Time Period Format Qualifier X 1 ID 2/3 Not DTM Date Time Period X 1 AN 1/35 Not 02/03/2015 V/R FCA US

8 Segment: CUR Currency Position: 0350 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. CUR01 98 Entity Identifier Code M 1 ID 2/3 M Code identifying an organizational entity, a physical location, property or an individual BY Buying Party (Purchaser) CUR Currency Code M 1 ID 3/3 M Code (Standard ISO) for country in whose currency the charges are specified CUR Exchange Rate O 1 R 4/10 Not CUR04 98 Entity Identifier Code O 1 ID 2/3 Not CUR Currency Code O 1 ID 3/3 Not CUR Currency Market/Exchange Code O 1 ID 3/3 Not CUR Date/Time Qualifier X 1 ID 3/3 Not CUR Date O 1 DT 8/8 Not 02/03/2015 V/R FCA US

9 CUR Time O 1 TM 4/8 Not CUR Date/Time Qualifier X 1 ID 3/3 Not CUR Date X 1 DT 8/8 Not CUR Time X 1 TM 4/8 Not CUR Date/Time Qualifier X 1 ID 3/3 Not CUR Date X 1 DT 8/8 Not CUR Time X 1 TM 4/8 Not CUR Date/Time Qualifier X 1 ID 3/3 Not CUR Date X 1 DT 8/8 Not CUR Time X 1 TM 4/8 Not CUR Date/Time Qualifier X 1 ID 3/3 Not CUR Date X 1 DT 8/8 Not CUR Time X 1 TM 4/8 Not 02/03/2015 V/R FCA US

10 Segment: N1 Name Position: 0400 Loop: N1 Optional 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 Code" (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. N Entity Identifier Code M 1 ID 2/3 M Code identifying an organizational entity, a physical location, property or an individual RI Remit To N Name X 1 AN 1/60 Free-form name N Identification Code Qualifier X 1 ID 1/2 Not 93 Code assigned by the organization originating the transaction set N Identification Code X 1 AN 2/80 Not N Entity Relationship Code O 1 ID 2/2 Not N Entity Identifier Code O 1 ID 2/3 Not 02/03/2015 V/R FCA US

11 Segment: N3 Address Information Position: 0600 Loop: N1 Optional Level: Heading Usage: Optional Max Use: 2 Purpose: To specify the location of the named party Syntax Notes: Semantic Notes: Comments: N Address Information M 1 AN 1/55 M Address information N Address Information O 1 AN 1/55 Not 02/03/2015 V/R FCA US

12 Segment: N4 Geographic Location Position: 0700 Loop: N1 Optional Level: Heading Usage: Optional Max Use: 1 Purpose: To specify the geographic place of the named party Syntax Notes: 1 Only one of N402 or N407 may be present. 2 If N406 is present, then N405 is required. 3 If N407 is present, then N404 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. N City Name O 1 AN 2/30 Free-form text for city name N State or Province Code X 1 ID 2/2 Code (Standard State/Province) as defined by appropriate government agency N Postal Code O 1 ID 3/15 Code defining international postal zone code excluding punctuation and blanks (zip code for United States) N Country Code X 1 ID 2/3 Code identifying the country N Location Qualifier X 1 ID 1/2 Not N Location Identifier O 1 AN 1/30 Not N Country Subdivision Code X 1 ID 1/3 Not 02/03/2015 V/R FCA US

13 Segment: PER Administrative Communications Contact Position: 0900 Loop: N1 Optional 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: PER Contact Function Code M 1 ID 2/2 M Code identifying the major duty or responsibility of the person or group named IC Information Contact PER02 93 Name O 1 AN 1/60 Free-form name PER Communication Number Qualifier X 1 ID 2/2 Code identifying the type of communication number TE Telephone PER Communication Number X 1 AN 1/256 Complete communications number including country or area code when applicable PER Communication Number Qualifier X 1 ID 2/2 Code identifying the type of communication number FX Facsimile PER Communication Number X 1 AN 1/256 Complete communications number including country or area code when applicable PER Communication Number Qualifier X 1 ID 2/2 Not PER Communication Number X 1 AN 1/256 Not PER Contact Inquiry Reference O 1 AN 1/20 Not 02/03/2015 V/R FCA US

14 Segment: ENT Entity Position: 0050 Loop: ENT Mandatory Level: Detail Usage: Mandatory Max Use: 1 Purpose: To designate the entities which are parties to a transaction and specify a reference meaningful to those entities Syntax Notes: 1 If any of ENT02 ENT03 or ENT04 is present, then all are required. 2 If any of ENT05 ENT06 or ENT07 is present, then all are required. 3 If either ENT08 or ENT09 is present, then the other is required. Semantic Notes: Comments: 1 This segment allows for the grouping of data by entity/entities at or within a master/masters. A master (e.g., an organization) can be comprised of numerous subgroups (e.g., entities). This master may send grouped data to another master (e.g., an organization) which is comprised of one or more entities. Groupings are as follows: (1) Single/Single: Only ENT01 is necessary, because there is a single entity (the sending master) communicating with a single entity (the receiving master). (2) Single/Multiple: ENT05, ENT06, and ENT07 would be used to identify the entities within the receiving master. The sending master is a single entity, so no other data elements need be used. (3) Multiple/Single: ENT02, ENT03, and ENT04 would be used to identify the entities within the sending master. The receiving master is a single entity, so no other data elements need be used. (4) Multiple/Multiple: ENT02, ENT03, and ENT04 would be used to identify the entities within the sending master. ENT05, ENT06, and ENT07 would be used to identify the entities within the receiving master. This segment also allows for the transmission of a unique reference number that is meaningful between the entities. ENT Assigned Number O 1 N0 1/6 Not ENT02 98 Entity Identifier Code X 1 ID 2/3 Not ENT03 66 Identification Code Qualifier X 1 ID 1/2 Not ENT04 67 Identification Code X 1 AN 2/80 Not ENT05 98 Entity Identifier Code X 1 ID 2/3 Not ENT06 66 Identification Code Qualifier X 1 ID 1/2 Not 02/03/2015 V/R FCA US

15 ENT07 67 Identification Code X 1 AN 2/80 Not ENT Reference Identification Qualifier X 1 ID 2/3 Code qualifying the Reference Identification 12 Billing Account ENT Reference Identification X 1 AN 1/50 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier 02/03/2015 V/R FCA US

16 Segment: N1 Name Position: 0100 Loop: N1 Optional 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 Code" (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. N Entity Identifier Code M 1 ID 2/3 M Code identifying an organizational entity, a physical location, property or an individual SU Supplier/Manufacturer N Name X 1 AN 1/60 Free-form name N Identification Code Qualifier X 1 ID 1/2 Code designating the system/method of code structure used for Identification Code (67) 93 Code assigned by the organization originating the transaction set N Identification Code X 1 AN 2/80 Code identifying a party or other code N Entity Relationship Code O 1 ID 2/2 Not N Entity Identifier Code O 1 ID 2/3 Not 02/03/2015 V/R FCA US

17 Segment: N3 Address Information Position: 0300 Loop: N1 Optional Level: Detail Usage: Optional Max Use: 2 Purpose: To specify the location of the named party Syntax Notes: Semantic Notes: Comments: N Address Information M 1 AN 1/55 M Address information N Address Information O 1 AN 1/55 Not 02/03/2015 V/R FCA US

18 Segment: N4 Geographic Location Position: 0400 Loop: N1 Optional Level: Detail Usage: Optional Max Use: 1 Purpose: To specify the geographic place of the named party Syntax Notes: 1 Only one of N402 or N407 may be present. 2 If N406 is present, then N405 is required. 3 If N407 is present, then N404 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. N City Name O 1 AN 2/30 Free-form text for city name N State or Province Code X 1 ID 2/2 Code (Standard State/Province) as defined by appropriate government agency N Postal Code O 1 ID 3/15 Code defining international postal zone code excluding punctuation and blanks (zip code for United States) N Country Code X 1 ID 2/3 Code identifying the country N Location Qualifier X 1 ID 1/2 Not N Location Identifier O 1 AN 1/30 Not N Country Subdivision Code X 1 ID 1/3 Code identifying the country subdivision 02/03/2015 V/R FCA US

19 Segment: ACT Account Identification Position: 1000 Loop: ACT Optional Level: Detail Usage: Optional Max Use: 1 Purpose: To specify account information Syntax Notes: 1 If either ACT03 or ACT04 is present, then the other is required. 2 If ACT05 is present, then ACT06 is required. 3 If ACT07 is present, then ACT05 is required. Semantic Notes: 1 ACT02 is the name of the account in ACT01. 2 ACT07 is the name associated with the account identified in ACT06. Comments: 1 ACT06 is an account associated with the account in ACT01. 2 ACT08 indicates if the data for the account in ACT01 is used for billing or information purposes. ACT Account Number M 1 AN 1/35 M Account number assigned ACT02 93 Name O 1 AN 1/60 Not ACT03 66 Identification Code Qualifier X 1 ID 1/2 Not ACT04 67 Identification Code X 1 AN 2/80 Not ACT Account Number Qualifier X 1 ID 1/3 Not ACT Account Number X 1 AN 1/35 Not ACT Description O 1 AN 1/80 Not ACT Payment Method Code O 1 ID 1/2 Not ACT Benefit Status Code O 1 ID 1/1 Not 02/03/2015 V/R FCA US

20 Segment: LX Assigned Number Position: 1100 Loop: LX Optional Level: Detail Usage: Optional Max Use: 1 Purpose: To reference a line number in a transaction set Syntax Notes: Semantic Notes: Comments: LX Assigned Number M 1 N0 1/6 M Number assigned for differentiation within a transaction set 02/03/2015 V/R FCA US

21 Segment: BLN Balance Information Position: 1200 Loop: LX Optional Level: Detail Usage: Mandatory Max Use: >1 Purpose: To provide specific balance information for financial account reporting Syntax Notes: 1 If BLN06 is present, then BLN05 is required. Semantic Notes: 1 BLN03 is the monetary amount of a financial account balance type described in BLN02. A financial account may have more than one balance type. If more than one balance type is present, multiple BLN loops should be used. Comments: BLN Code List Qualifier Code M 1 ID 1/3 M Code identifying a specific industry code list BTC Balance Type Code BLN Industry Code M 1 AN 1/30 M Code indicating a code from a specific industry code list CURRENT DEFER OVER90 PAST30 PAST60 PAST90 BLN Monetary Amount M 1 R 1/18 M Monetary amount BLN Date O 1 DT 8/8 Not BLN Time X 1 TM 4/8 Not BLN Time Code O 1 ID 2/2 Not 02/03/2015 V/R FCA US

22 Segment: SER Service Charges Position: 1400 Loop: SER Optional Level: Detail Usage: Optional Max Use: 1 Purpose: To specify the details of the service charges levied Syntax Notes: 1 At least one of SER03 or SER04 is required. 2 If either SER10 or SER11 is present, then the other is required. Semantic Notes: 1 SER03 is collected balance required (Account balance needed to compensate for service charge). 2 SER04 is the service charge. 3 SER08 is the pricing structure. 4 SER09 is the method of compensation. 5 SER10 is the subservice identifier. 6 SER11 is the subservice number. Comments: SER Product/Service ID Qualifier M 1 ID 2/2 M Code identifying the type/source of the descriptive number used in Product/Service ID (234) IN Buyer's Item Number SER Product/Service ID M 1 AN 1/48 M Identifying number for a product or service SER Monetary Amount X 1 R 1/18 Monetary amount SER Monetary Amount X 1 R 1/18 Not SER Unit Price O 1 R 1/17 Not SER Quantity O 1 R 1/15 Not SER Description O 1 AN 1/80 Not SER Price Identifier Code O 1 ID 3/3 Not SER Payment Method Code O 1 ID 1/2 Not SER Reference Identification Qualifier X 1 ID 2/3 Code qualifying the Reference Identification 02/03/2015 V/R FCA US

23 PO Purchase Order Number SER Reference Identification X 1 AN 1/50 Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier 02/03/2015 V/R FCA US

24 Segment: DTM Date/Time Reference Position: 1500 Loop: SER Optional Level: Detail Usage: Optional Max Use: 5 Purpose: To specify pertinent dates and times Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required. 2 If DTM04 is present, then DTM03 is required. 3 If either DTM05 or DTM06 is present, then the other is required. Semantic Notes: Comments: DTM Date/Time Qualifier M 1 ID 3/3 M Code specifying type of date or time, or both date and time 003 Invoice AAG Due Date DTM Date X 1 DT 8/8 Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year DTM Time X 1 TM 4/8 Not DTM Time Code O 1 ID 2/2 Not DTM Date Time Period Format Qualifier X 1 ID 2/3 Not DTM Date Time Period X 1 AN 1/35 Not 02/03/2015 V/R FCA US

25 Segment: SE Transaction Set Trailer Position: 1600 Loop: Level: Detail 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. SE01 96 Number of Included Segments M 1 N0 1/10 M Total number of segments included in a transaction set including ST and SE segments SE Transaction Set Control Number M 1 AN 4/9 M Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set 02/03/2015 V/R FCA US

26 FCA US Commodity Procurement Account Statement Example 1: EDI Format ST~822~0001 BGN~00~ ~ DTM~434~ CUR~BY~USD N1~RI~FCA US Interpretation Transaction Set Identifier Code = 822 (Account Analysis) Transaction Set Control Number = 0001 Transaction Set Purpose Code = 00 (Original) Reference Identification = Date = 01/15/2002 Date/Time Qualifier = 434 (Statement) Date = 01/15/2003 Entity Identifier Code = BY (Buying Party <Purchaser>) Currency Code = USD Entity Identifier Code = RI (Remit To) Name = FCA US N3~PO BOX Address Information = PO BOX N4~CHICAGO~IL~ ~US City Name = CHICAGO State or Province Code = IL Postal Code = Country Code = US PER~IC~OFFLOAD CONTACT~TE~ ~FX~ Contact Function Code = IC (Information Contact) Name = OFFLOAD CONTACT Communication Number Qualifier = TE (Telephone) Communication Number = Communication Number Qualifier = FX (Facsimile) Communication Number = ENT~~~~~~~~12~OL Reference Identification Qualifier = 12 (Billing Account) Reference Identification = OL N1~SU~JOE'S STAMPING~93~33884 Entity Identifier Code = RI (Remit To) Name = JOE'S STAMPING Identification Code Qualifier = 93 (Code assigned by the organization originating the transaction set) Identification Code = N3~12345 MAIN STREET Address Information = MAIN STREET 02/03/2015 V/R FCA US

27 FCA US Commodity Procurement Account Statement Example 1: (continued) EDI Format Interpretation N4~CINCINNATI~OH~43017~US ACT~OL City Name = CINCINNATI State or Province Code = OH Postal Code = Country Code = US Account Number = OL LX~1 Assigned Number = 1 BLN~BTC~CURRENT~ Code List Qualifier Code = BTC (Balance Type Code) Industry Code = CURRENT Monetary Amount = SER~IN~ ~ ~~~~~~~PO~O Product/Service ID Qualifier = IN (Buyer's Item Number) Product/Service ID = Monetary Amount = Reference Identification Qualifier = PO (Purchase Order Number) Reference Identification = O DTM~003~ DTM~AAG~ Date/Time Qualifier = 003 (Invoice) Date = 01/08/2002 Date/Time Qualifier = AAG (Due Date) Date = 02/28/2002 SER~IN~ ~ ~~~~~~~PO~O Product/Service ID Qualifier = IN (Buyer's Item Number) Product/Service ID = Monetary Amount = = PO (Purchase Order Number) Reference Identification = O DTM~003~ DTM~AAG~ Date/Time Qualifier = 003 (Invoice) Date = 01/28/2002 Date/Time Qualifier = AAG (Due Date) Date = 02/28/2002 SER~IN~ ~ ~~~~~~~PO~O Product/Service ID Qualifier = IN (Buyer's Item Number) Product/Service ID = Monetary Amount = Reference Identification Qualifier = PO (Purchase Order Number) Reference Identification = O /03/2015 V/R FCA US

28 FCA US Commodity Procurement Account Statement DTM~003~ DTM~AAG~ Date/Time Qualifier = 003 (Invoice) Date = 01/28/2002 Date/Time Qualifier = AAG (Due Date) Date = 02/28/2002 SER~IN~ ~ ~~~~~~~PO~O Product/Service ID Qualifier = IN (Buyer's Item Number) Product/Service ID = Monetary Amount = = PO (Purchase Order Number) Reference Identification = O DTM~003~ DTM~AAG~ Date/Time Qualifier = 003 (Invoice) Date = 01/28/2002 Date/Time Qualifier = AAG (Due Date) Date = 02/28/2002 SER~IN~ ~ ~~~~~~~PO~O Product/Service ID Qualifier = IN (Buyer's Item Number) Product/Service ID = Monetary Amount = = PO (Purchase Order Number) Reference Identification = O DTM~003~ DTM~AAG~ Date/Time Qualifier = 003 (Invoice) Date = 01/28/2002 Date/Time Qualifier = AAG (Due Date) Date = 03/30/2002 SER~IN~ ~ ~~~~~~~PO~O Product/Service ID Qualifier = IN (Buyer's Item Number) Product/Service ID = Monetary Amount = = PO (Purchase Order Number) Reference Identification = O DTM~003~ DTM~AAG~ Date/Time Qualifier = 003 (Invoice) Date = 01/08/2002 Date/Time Qualifier = AAG (Due Date) Date = 02/28/2002 SE~34~0001 Number of Included Segments = 34 Transaction Set Control Number = /03/2015 V/R FCA US

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