| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | date of charges | 0;1 | DATE-TIME | B | This is the date that the charges were incurred. | |
| 2 | description of charges | 1;0 | WORD-PROCESSING | This is a description of the individual charges on the bill. | ||
| 3 | quantity (units)(+) | 0;3 | NUMERIC | If the total amount of charges is computed using units of issue, then this is the number of units that are being billed. | ||
| 4 | unit cost(+) | 0;4 | NUMERIC | This is the billing cost of a single unit of issue. | ||
| 5 | unit | 0;5 | POINTER | 420.5 | This is the unit of issue -- EA, BX, DZ, etc. | |
| 6 | total amount | 0;6 | NUMERIC | This total is computed by multiplying the number of units by the cost per unit. | ||
| 7 | order no. | 0;7 | FREE TEXT | If the Service or Section has an order number associated with this bill it is entered here. |
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