H;C04086;C04086;;20250620;TA112079-PA will send ;;;;;Iowa City VAHCS;400 S Clinton St;;Iowa City;IA;52240;;;PA will send ;003
D;TCO3;;PR;1;Victor Endress 9278;
D;20017XW115;;PR;1;Victor Endress 9278;
D;COMP;;PR;No;;