834 Sample 1 X12 with whitespace

ISA*00* *00* *01*9012345720000 *01*9088877320000 *020816*1144*U*00401*000000031*1*T*:~
  GS*BE*901234572000*908887732000*20070816*1615*31*X*004010X096A1~
    ST*834*12345~
      BGN*00*123456*19980502*1200****2~
      N1*P5**FI*999888777~
      N1*IN**FI*654456654~
      INS*Y*18*021*20*A***FT~
        REF*0F*123456789~
        REF*1L*123456001~
        DTP*356*D8*19960523~
        NM1*IL*1*DOE*JOHN*P***34*123456789~
          PER*IP**HP*7172343334*WP*7172341240~
          N3*100 MARKET ST*APT 3G~
          N4*CAMP HILL*PA*17011**CY*CUMBERLAND~
          DMG*D8*19400816*M~
        HD*021**HLT~
          DTP*348*D8*19960601~
          COB*P*890111*5~
            N1*IN*ABC INSURANCE CO~
        HD*021**DEN~
          DTP*348*D8*19960601~
        HD*021**VIS~
          DTP*348*D8*19960601~
    SE*22*12345~
  GE*1*31~
IEA*1*000000031~

Last edited Apr 6, 2011 at 2:41 AM by dstrubhar, version 2

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