Vous êtes sur la page 1sur 2

.. ....... I.

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

NONE X 0IIicc. NONE 0211012005


9. SUPPUER'S ADDRESS 71670 12. BlLUNG ADDRESS
lU!I'ERENCE ORDER NO.: OBLlG-2003-81549-Q-O
BUREAU OF nm CENSUS
FlNANCE DIVISION
ROOM 3546, BUDDING 3

WASHINGTON OC 20233-4400

H. IS. 16. 17. II. 19. 20.


UNE DESCRIPTION DEUVERY QUANITTY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

CONTRACfOR TO PROVIDE BROAOCAST MEDIA 1213112003 18 7,500.0000 7,500.00


PRODUCTION INCLUDING SCRIPT WRfIlNG, PRODUCING.
DIRECTING, LANGUAGE TRANSLATIONS. RESEARCHING AND
PRODUCTION ASSISTANCE FOR CREATING BROAOCAST AND
IN-HOUSE VIDEO AND RADIO PROGRAMS. INCLUDES O1HER
DIRECf COST.

PERIOD OF PERFORMANCE: DATE OF AWARD nm.OUGH


DECEMBE~ 31,2003

CENSUS TASK MANAGER:


MIKE MORGAN
301-763-3045

ALTERNATE TASK MANAGER:


TOM WEBSTER
301-763-3053

u.s. DEPAJlTMENr OF COMMERCE - TERMS AND CONDDlONS


The following _Irld conditions as well as lUll' au -.:bed.beers, ~ppIy wboe this do<:umenl is used as. purclJase order. Jrdlis doc.- is """" as. deIivay Older. it is subject 10 the terms aDd coDditio... of
the contra.. refer...,... i1 Block It2 oCthe order. 52.252·2 CIa..... iacorporated by Refereoce (Apr iW). This contract iDcorponta the Colo.... cia..... by raer-e. with !be ...... force Irld elf"'" as iCtbey were
given in run text Upon .......... !be Coalraclirl& 0IIic:er wiD .-ke full ..... available.

NOTE: FULL TEXT UAUSES ARE AVAILABLE AT HTJPJIWWW.ARNET.GOVIFARlFAR.QUERYFRAME.HTML


NOTE 2 INVOICE MUST COINCIDE WITH LINE ITEMS ON PUROIASE ORDER
NOTE 3 INSTRucnONS FOR SUBMITI1NG INVOICES ARE AITAOIED
NOTE 4 CONTRACTOR SHAU. AllOW THE GOVT 30 DAYS FROM DElJVERY TO INSPECT.t ACCEPT
NOTES CONlRACTOR AGREES TO INVOICE NO LESS TIlAN 36 DAYS AFTER DEUVERY
NOTE 6 52.246-2 INSPECfON OF SUPPLIES· fIXED PRICE

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

04 0200000-000 2110-02-D7-DOO Il-04-0009-00-DO-OO-OO 25-20-04-00 00000o 100% 7.500.00

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)

47. 48. 49. so.


LINE REQUISITION NUMBER REQUISITION DESCRIPTION REQUlSmONER INFORMATION
IlEM

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.

Vous aimerez peut-être aussi