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;ORM Cn-404-EF 109-97) - . . . I.

ORDER NUMBER
U. S. DEPAIl.THEHT OF COMMERCE SUPPLY, EQUIPMENT OR SERVICE ORDER Uselhis Order
Number for 43-YA-BC-488 152
1------'"'T---....L------..,..----..-..,.;----r-----......
2. CONTRACT ORDERED AGAINST 3. PURCHASE 4. DEUVERY Y. ORDER DATE
--------!inquiriesIO
the
PAGE I OF 3 Specific Provisions Apply ORDER ORDER P r _ 7. SUB S. DATE PRINTED
NONE X 03/0812004 0fIic:e. NONE 0211012005
9. SUPPUER'S ADDRESS 10. 1099 TAX: MISC This Refereuce der 12. BILLING ADDRESS
No. REfERENCI! ORDER NO.: OBLlG-2004-88152-0-0
II. EMPLOYER I.D. must Ippear on aD
invoices and BUREAU OF TIlE CENSUS
13. CONTACT: pawses. FreiBht FINANCE DIVISION
c1wse over $100
THERESE ALLEN .equires a BBI of ROOM 3546, BUllDING 3
Lading.
1Ja.TEL:_
WASHINGTON DC 20233-4400
IJb.FAX~f.p

14. IS. 16. 17. lB. 19. 20.


LINE DESCRIPTION DEUVERY QUANTITY UNIT UNlTPRlCI! AMOUNT
ITEM DATE ISSUE

CONTRACTOR TO PROVIDE BROADCAST MEDlA 12/3112004 ill 7,500.0000 7,500.00


PRODUCTION SERVICES WHICH INCLUDES SCRIPT WRlTlNG,
PRODUCING, DIRECTING. LANGUAGE TRANSLATIONS.
RESEARCHING AND PRODUCTION ASSISTANCE FOR
CREATING BROADCAST AND IN-HOUSE VIDEO AND RADIO
PROGRAMS. INCLUDES OTHER DIRECT COSTS.

PERIOD OF PERFORMANCE: DATE OF AWARD THROUGH


DECEMBER 31,2004

RATE: $400.00 PER DAY

CENSUS TASK MANAGER:


MlKEMORGAN
301-763-3045

ALTERNATE TASK MANAGER:


TOM WEBSTER
301-763-3053

PREVIOUS PO #43YABC257975

V.S. DEPARTMENT OF COMMERCE - TERMS AND CONDITIONS


The followinSlerms and conditions as well as any 00 attached sh..... apply when this document is used as a purchase order. If this document is used as a delivery order. it is subject 10 the lerms and conditions of
the contrad referenced in Biodt 112 of the o.der. S22S2-2 Clauses iocorponted by Refer"""" (Ap. 84). This coDtnCl iocoJjKKO!es the foBowiag c1allSes by .eren:oce, with the same force and effect as if they were
Siv"" in fuU Iext. Upon .equest, the Conuacting Officer will make CUU IeXI ava_ble.

NOTE: FUU TEXT CLAUSES ARE AVAllABLE AT mTP:/IWWW.ARNET.GOVIFARIFARQUERYFRAMEHTML


NOTE 2 INVOICE MUST COINCIDE WITH UNE rrEMS ON PURCHASE ORDER
NOTEl INSTRUCTIONS FOR SUBMITTING INVOICES ARE AITACHED
NOTE 4 CONTRACTOR SHAU. ALLOW THE GOVT 30 DAYS FROM DEUVERY TO INSPECT.t ACCEPT
NOTES . CONTRACTOR AGREES TO rNVOICI! NO LESS THAN 30 DAYS AFTER DEUVERY
NOTE 6 S2246-2 INSPECTON OF SUPPLIES - FIXED PRICE

21. ORDERED BY (NAME AND TITLE) 22. FOR INQUIRIES CALL 23. FOB POINT 24. DISCOUNT TERMS
LAVANCE 301-763-1840 DESTIN 0% inO net 30
SUPVY PURCHSG AGT $7,500.00
26. CONTRACTlNGIORDERING OffiCER SIGNATURE 27. DATE SIGNED
LAVANCE 0310812004 N/A
30. SHIP TO (INCLUDE ON SHIPPING LABEL) 31. ISSUING OffiCI! (DO NOT SHIP OR BILL TO T\{JS ADDRESS)
OBLlG-2004-88152-0-o
REFERENCE ORDER NO.:
BOC MAIN RECElVlNG DOCK BUREAU OF TIlE CENSUS
ROOM 1203A. FOB 4 ACQUlSmON BRANCH, ROOM G-312-3
4700 SILVER IDLL ROAD 4700 SILVER HILL ROAD
Alto: S B MASSIE
SUITLAND, MD 20746 SUITLAND MD 20746

Phone:
U"~
'~ORll
CD-404-EF (09-97) I. ORDER NUMBER
U.S. DEPARTMEII'l' OF COHHERCE SUPPLY, EQUIPMENT OR SERVICE ORDER 43·YA-BC-488152
Number for
1------""T-:-~=__:l_ __=_.......---_r----~...,....--T_----_r~=~----__1iaquiries 10
2. CONTRACT ORDEIlED AGAINST 3. PURCHASE 4. DEUVl!RY S~ORDER DATI! 6. SOURCE the
PAGE 2 OF 3 Specific Provisions Apply ORDER ORDER Procurement 7. SUB 8. DATI! PRINTED
NONE X 03/0812004 0fIice. NONE 0211012005
9. SUPPUEll'S ADDRI!SS 39967 10. 1099 TAX: , MlSC This Reference 12. BIWNG ADDRI!SS
No. Rl!Fl!RENCE ORDER NO.: OBLlG-2004-88152-o-o
tt.I!MPLOYI!R J.D. must appear on aD
invoices and BUREAU OF THE CENSUS
13. CONTACT: packages. Freight FINANCE DMSION
ebarB' over $100
1'HEIlESE AU-EN requires a BiU of ROOM 3546. BUILDING 3
Ladins·
13a.TI!t.:~
WASHINGTON DC 20233-4400
I3b. F A X : . _ _ _ t)U
14. IS. 16. 17. 18. 19. 20.
lJMI! DESCRIPTION DEUVERY QUANI1TY UNIT UNIT PRICE AMOUNT
ITEM DATI! ISSUE:

u.s. DEPARTMENT OF COMMERCE - TERMS AND CONDmONS


The following lemD and cond~io .. as weD as any on attaclled sheets, apply when this document is used as a purchu. order. If this document is used as a delivery order, ~ is subject to the terms and cond~io .. of
the con""d r.cerenca! in BIo<:k #2 ofth. order. 52.252-2 Clauses incorporated by ReCerence (Apr 84). This conlIaol incorporales the following clauses by reference, with the sam. force and effect as if they _ .
given in fuI1lext. Upon request, the ConlI1IctiJlg Officer will malt. filII tcxl a""ilable.

21. ORDERED BY (NAM!! AND TInE) 22. FOR INQUIRIES CALL 23. FOB POINT 24. DISCOUNT TERMS
LAVANCE 301-763-1840 DESTIN 0% in 0 net 30
SUPVY PURCHSG AGT $7,500.00
26. CONTRACTING/ORDERING OFFICER SIGNATURE 27 DATI! SIGNED
LAVANCE 03/0812004 N/A
30. SIDP TO (INCLUDE ON SHIPPING LABEL) 31. ISSUING OFFICE (DO NOT SIDP OR Bill TO nus ADDRESS)
OBLlG-2004-88152-0-0
REFERENCE ORDER NO.:
BOC MAIN RECElV1NG DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUISmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Atbl: S B MASSIE
SUITLAND. MD 20746 SUITLAND MD 20746

Phone:
I. ORDER NUMBER
Fopt1 CD-404-EF (09-97)
U. S. DEPARtMENT OF COHMERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-488 152
(CONTl:HUATl:OII SHEET)

32. SUPPUER 33. IssuiNG OFFICE 5. ORDER DATE 18. DATE PRINTED
PAGE 3 OF
1 TIlERESE ALLEN PRODUCTIONS BUREAU OF TIlE CENSUS 03/0812004 I 02/1012005
34. 35. 36. 37. 38. 39. 40. 41.
UNE MOL QTY QTY FINAL FULL ACCOUNTING CLASSIFICATION D1ST'Yo AMOUNT
ITEM RECVD
040200000-000 21 10-02-07-000 11-04-0009-00-00-00-0025-20-04-00 000000 100% 7.500.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
UNE MOL QTY RECEIVJNG (INCLUDE REFERENCE ORDER NO. UNE MOL QTY RECEIVING (IN<UJDE REFERENCE ORDER NO.
ITEM OFFICE CODE ON SHIPPING LABEL) ITEM OFFICE COOl! ON SHIPPING LABEL)

47. 48. 49. 50.


UNE REQUISITION NUMBER REQUISITION DESCRIPTION REQUISITIONER INFORMATION
ITEM

35993-0 Renewal of POll 43-YABC-257975 S B MASSIE (W)301-763-3012 Loe: FB 3 Rm: 2720

52. RECEIPT SIGNATURE &: TITI.E 53. RECEIPT DATE

ACCEPTANCE: I CERTIFY lllAT ARTICLES ANDIORSERVICES ANNOTATED 54. ACCEPTANCE SIGNATURE&: TITI.E 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLV1NG
WITH nus ORDER. AS OF nJE DATE SHOWN.

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