..

FORM CD-404-EF (09-97)

D.S. DEPAR'lMEll'f OF COMMERCE
I SUPPLY, EQUIPMENT OR SERVICE ORDER
~
~:~der
1.0RDERNUMBER
43-YA.BC-372364
1------.. . . -2.-CO-NTRA--CT.L-0-RD-ERlID--A-G-AIN-S-T.......3-..."P~-CHAS--E--r4-.-D-ElJVE--R-yT""5.-0-RD-ER-D-A-TE-T"~-
. S-O-UR-CE------1:uiries 10

PAGE I OF 2 Specific Provisions Apply ORDER ORDER Proeurcmeo17.SUB 18.DATEPRINlED

NONE X 11/0612002 Office. NONE I 0211012005
9. SUPPlJI!R'S ADDRESS 55885 :10. 1099 TAX: NONE This Reference Order 12. BllJJNG ADDRESS

~
PETREE MEDIA No. '~IlE:FERENCEORDEIlNO.: OBLlG-2003-72364-o-o
II. EMPLOYER l.D must appear OD aD
518GSTNE 1 • inoices and BUREAU OF THE CENSUS
13. CONTACT: r..cbges. Freight FINANCE DMSION
charge over Sioo
WASHINGTON DC 20002 COREY PETREE requires a Bin of ROOM 3546, BUILDING 3
13.. TEL: 202-4864919 Lading.
WASHINGTON DC 20233-4400
I3b. FAX: NONE

I~ I~ 16. 17. 18. 19. 20.

IJNE DESCBIP110N DEUVERY QUANI1TY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

1 CONTRACTOR TO PROVIDE DIGITAL EDITING AND GRAPIDC 1213112003 JB 8,000.0000 8,000.00

DESIGN SERVICES TO INCLUDE TIlE CREATION OF VIDEO,
RADIO AND PHOTOGRAPHY SOURCE ELEMENTS FOR USE IN
BROADCAST AND WEB-BASED PRODUCTS. INCLUDES OTHER
DIRECT COSTS.

PERIOD OF PERFORMANCE: DATE OF AWARD TIIROUGH

DECEMBER 31, 2003

CENSUS TASK MANAGER: MIKE MORGAN 301-763·3045

ALTERNATE TASK MANAGER: TOM WEBSTER 301-763-3053

U.S. DEPARTMENr OFCOMMl:RCE - TERMS AND CONDITIONS

The I'olowinl!lenns and conditio'" os well os lUI)' on attached .beets, apply when this docu.....1is nsed os a purchase oroer. If "'is _ is nsed as. deJiyeryorder, it is subject 10 the lerms and conditions of
the conlJKt referenced in aloclc #2 of the order. 52.252-2 Clauses incorporated by ReferetlCO (Apr 84). This contract incorporales the following clauses by reference, with the same fora: and effect as if they were
given in run Iext. Upon request, the Contraetin8 0fIice< will make filII lext available.

NOTE: FULL TEXT CLAUSES ARE AVAfLABLE AT HTIP:/IWWW.ARNET.GOVIFARIFARQUERYFRAME.HlML

NOTE 2 INVOICE MUST COINCIDE WIl1f IJNE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUcnONS FOR SUBMITllNG INVOICES ARE ATIACHED
NOTE 4 CONTRACTOR SHALL AlLOW 1liE GOVT 30 DAYS FROM DEUVERY TO INSPECT & ACCEPT
NOTES CONTRACTOR AGREES TO INVOIC~ NO LESS THAN 30 DAYS AFrnR DELIVERY
NOTE 6 S2.246-2INSPECTON OF SUPPUES - FIXED PRICE

21. ORDERIID BY (NAME AND TITLE) 22. FOR INQUIRIES CALL 23. FOa POINT 24. DISCOUNT TERMS
PAMILLER 301-763-3547 DESTIN 0% in 0 net 30
PURCHSGAGT $8,000.00
26. CONTRACTINGIORDERING omCER SIGNATURE 27. DATE SIGNED 128 . PROMPT PAYMENT 129. SHIP VIA
LAVANCE 1 1110612002 I Y N/A
30. SHIP TO (INCLUDE ON SHIPPING LABEL) 31. ISSUING omCE (DO NOT SHIP OR alLL TO nus ADDRESS)
REFERENCE ORDER NO.OBLlG-2003-72364-0-O
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUlSmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER IDLL ROAD
Attn: S B MASSIE
SUITLAND, MD 20746 SUITLAND MD 20746

Phone:
FORM CD-404-EF (09-97) I. ORDER NUMBER
U. 8. DEPAilTHEI1'I' OF COMMERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-372364
(COHTIIllJAi'IOH 8BEEi'1

32. SUPPUER 33. ISSUING OFFICI! 5. ORDER DATE 18. DATE PRINTED
PAGE 2 OF
1 PETREE MEDIA BUREAU OF TIlE CENSUS 11I06fl002 I 021 1Ofl005
34. 3S. 36. 31. 38. 39. 40. 41.
UN!! MOL QTY QTY FINAL FULL ACCOUNTING CLASSIFICATION mST% AMOUNT
ITEM RECVD

04 6210000-000 20 04-03-02-000 11-04-0009-00-00-00-00 25-20-04-00 000000 100% 8.000.00

42. 43. 44. 45. 46. SIUP TO ADDRESS 42. 43. 44. 4S. 46. SIUP TO ADDRESS
lJNE MOL QTY RECE.IVING (INCLUDE REl'ERl!NCE ORDER NO. UN!! MOL QTY RECEIVING (INCLUDE REEERENCE ORDER NO.
JTi!M OFFICE COOl! ON SHIPPING LABEL) JTi!M OFFICE COOl! ON SIUPPING LABEL)

47. 48. 49. so.

LINE REQUISmON NUMBER REQUISITION DESCRIPTION REQUISmONER INFORMATION
ITEM
30659-0 'Renewal of PO #43- YABC-258005 S B MASSIE (W)301-763-3012 Loc: FB 3 Rm: 2720

.i_",~I1r:i:ioi;ir""iii",!III!""I~",!I::l.IS_'_. TYP
__ E_SIUP_ME_NT +5_2._RE_CE_IP_T_S_IG_N_A_lllRE
__ &:_TITLE --I-_S3_._RE_CE_IPT_D_A_TE -t
ACCEPTANCE: I CERTIFY 1lIAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATIJRE &: TITLE 5S. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WITH nus ORDER. AS OF TIlE DATE SHOWN.