| Entire Segment |
| ST*835*07504123 |
| BPR*H*5.75*C*NON************20110315 |
| TRN*1*A04B001017.07504*1346000128 |
| DTM*405*20110308 |
| N1*PR*ASHTABULA COUNTY ADAMH BD*XX*6457839886 |
| N3*4817 STATE ROAD SUITE 203 |
| N4*ASHTABULA*OH*44004 |
| N1*PE*LAKE AREA RECOVERY CENTER *FI*346608640 |
| N3*2801 C. COURT |
| N4*ASHTABULA*OH*44004 |
| REF*PQ*1017 |
| LX*1 |
| CLP*444444*1*56.70*56.52*0*MC*0000000655555555*53 |
| NM1*QC*1*FUDD*ELMER*S***MI*1333333 |
| NM1*82*2*WECOVERWY SVCS*****FI*346608640 |
| REF*F8*A76B04054 |
| SVC*HC:H0005:HF:H9*56.70*56.52**6 |
| DTM*472*20110205 |
| CAS*CO*42*0.18*0 |
| REF*6R*444444 |
| CLP*999999*4*25.95*0*25.95*13*0000000555555555*11 |
| NM1*QC*1*SAM*YOSEMITE*A***MI*3333333 |
| NM1*82*2*ACME AGENCY*****FI*310626223 |
| REF*F8*H57B10401 |
| SVC*ZZ:M2200:HE*25.95*0**1 |
| DTM*472*20021224 |
| CAS*CR*18*25.95*0 |
| CAS*CO*42*0*0 |
| REF*6R*999999 |
| CLP*888888*4*162.13*0*162.13*MC*0000000456789123*11 |
| NM1*QC*1*SQUAREPANTS*BOB* ***MI*2222222 |
| NM1*82*2*BIKINI AGENCY*****FI*310626223 |
| REF*F8*H57B10401 |
| SVC*ZZ:M151000:F0*162.13*0**1.9 |
| DTM*472*20020920 |
| CAS*CO*29*162.13*0*42*0*0 |
| REF*6R*888888 |
| CLP*111111*2*56.52*18.88*0*13*0000000644444444*53 |
| NM1*QC*1*LEGHORN*FOGHORN*P***MI*7777777 |
| NM1*82*2*CHICKENHAWK SVCS*****FI*346608640 |
| REF*F8*A76B04054 |
| SVC*HC:H0005:HF:H9*56.52*18.88**6 |
| DTM*472*20031209 |
| CAS*CO*42*0*0 |
| CAS*OA*23*37.64*0 |
| REF*6R*111111 |
| CLP*121212*4*56.52*0*0*13*0000000646464640*53 |
| NM1*QC*1*EXPLORER*DORA****MI*1717171 |
| NM1*82*2*SWIPER AGENCY*****FI*346608640 |
| REF*F8*A76B04054 |
| SVC*HC:H0005:HF:H9*56.52*0**6 |
| DTM*472*20031202 |
| CAS*CO*42*0*0 |
| CAS*OA*23*57.6*0*23*-1.08*0 |
| REF*6R*121212 |
| CLP*333333*1*74.61*59.69*14.92*13*0000000688888888*55 |
| NM1*QC*1*BEAR*YOGI* ***MI*2222222 |
| NM1*82*2*JELLYSTONE SVCS*****FI*346608640 |
| REF*F8*A76B04054 |
| SVC*ZZ:A0230:HF*74.61*59.69**1 |
| DTM*472*20110203 |
| CAS*PR*2*14.92*0 |
| CAS*CO*42*0*0 |
| REF*6R*333333 |
| CLP*777777*25*136.9*0*0*13*0000000622222222*53 |
| NM1*QC*1*BIRD*TWEETY*M***MI*4444444 |
| NM1*82*2*GRANNY AGENCY*****FI*340716747 |
| REF*F8*A76B03293 |
| SVC*HC:H0015:HF:99:H9*136.9*0**1 |
| DTM*472*20030911 |
| CAS*PI*104*136.72*0 |
| CAS*CO*42*0.18*0 |
| REF*6R*777777 |
| CLP*123456*22*-42.58*-42.58*0*13*0000000657575757*11 |
| NM1*QC*1*SIMPSON*HOMER* ***MI*8787888 |
| NM1*82*2*DOH GROUP*****FI*310626223 |
| REF*F8*A57B04033 |
| SVC*HC:H0036:GT:UK*-42.58*-42.58**-2 |
| DTM*472*20110102 |
| CAS*CR*141*0*0*42*0*0*22*0*0 |
| CAS*OA*141*0*0 |
| REF*6R*123456 |
| CLP*090909*22*-86.76*-86.76*0*MC*0000000648484848*53 |
| NM1*QC*1*DUCK*DAFFY*W***MI*1245849 |
| NM1*82*2*ABTHSOLUTE HELP*****FI*346608640 |
| REF*F8*A76B04054 |
| SVC*HC:H0004:HF:H9*-86.76*-86.76**-4 |
| DTM*472*20110210 |
| CAS*CR*22*0*0*42*0*0 |
| CAS*OA*22*0*0 |
| REF*6R*090909 |
| LQ*HE*MA92 |
| SE*93*07504123 |