Académique Documents
Professionnel Documents
Culture Documents
ORDER NUMBER
FOIUl CJ)-40(--EF (09-97)
u. £. DEPARTMENT OF COHHElICE SUPPLY, EQUIPMENT OR SERVICE ORDER
U.. IhiSOrd..
NlIIIIl>erfor 43-YA-BC-38 1549
t------"'T""---..L..-------r----_r_.....:~-r_.L----_r_---___:,....-~iDqUieslO
2. CONlRACT ORDERED AGAJNST 3. PUR.CHASE 4. DEUVERY 5. ORDER DAm the
PAGE I OF 2 Specilic Provisions Apply ORDER ORDER Procuremeat 7. SUB B. DAm PRINTI!D
WASHINGTON OC 20233-4400
21. ORDERED BY (NAME AND 1Tl'LE) 22. FOR INQUIRIES CAll. 23. FOB POINT 24. DISCOUNT TERMS
LA VANCE 301-763-1840 DESTIN 0% in onet 30
SUPVY PURCHSG AGT $7,500.00
26. CONTRACTINGIORDERING OFFICER SIGNATURE 21. DATE SIGNED
LAVANCE 09102/2003 N/A
30. SHIP TO (INCLUDE ON SlDPPlNG LABEL) 31. ISSIJING omCE (DO NOT SIDP OR BD.l. TO TInS ADDRESS)
OBLIG-2003-81549-0-0
REFERENCE ORDER NO.:
BOC MAIN RECElVlNG DOCK BUREAU OF TIlE CENSUS
ROOM 1203A, FOB 4 ACQUlSmON BRANCH. ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HIll ROAD
Al1D: M S MORGAN
SUITLAND, MD 20746 SUITLAND MD 20746
Phone:
FORM r ,04-EF (09-91) 1. ORDER NUMBER
" U. S. I- )ARTHENT OF COMMERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-38 1549
(COllTI~nOll SIIE£P
PAGE 2 OF 2
32. SUPPUER 33. ISSUING OFFICE 5. ORDER DATE 18. DATE PRlN1lID
LAUREN HOPE BRENNER 1 BUREAU OF TIIE CENSUS 09/0212003 I 0211012005
34. 35. 36. 37. 38. 39. 40. 41.
UNE MDL QTY QTY ANAL FULL Aa:x>UNTlNG CL\SSIFICATION DlST% AMOUNT
ITEM RECVD
42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
LINE MDL QTY RECEIVING (INCLUDE Rl!FI!RENCI! ORDER NO. 1JNI! MOL QTY RECl!IVING (lNCLUDE.RE1'IlRENO! ORDl!ll NO.
rrJ!M OFFICE CODE ON SHIPPING LABEL) ITEM OFRCECOOE ON SHIPPING LABEL)
33320-0 Broadcasl Media Productioo - Includes script writing, producing, Ip H DUNTON (W)301-763-2806 Loc: FB 3 Rm: 2705
5 53
_51_'_TYP_E_S_HJPME
__ " _NT -r-2._RE_C_E1_P_T_S_IG_N_A_TIlRE
_ _&_Tl_TLE 1-_ ._RE_CElPT
_ _D_A_TE -t
ACCEPTANCE: I CERTIFY lllAT ARTiOJ!S ANDIOIl SERVICES ANNOTATED 54. ACCEPTANCE SIGNATIIRE '" TITI.E 55. ACCEFTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPlED AS COMPLYING
wrrn TInS ORDER, AS OF THE DATE SHOWN.