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I SUPPLY, EQUIPMENT OR SERVICE ORDER FO~CD-404-EF (09-97) ule~ 1.0RDERNUMBER u.s. Namberlbr 43.YA-BC.140459
I
SUPPLY, EQUIPMENT OR SERVICE ORDER
FO~CD-404-EF (09-97)
ule~ 1.0RDERNUMBER
u.s.
Namberlbr
43.YA-BC.140459
DEPARTMENT OF
COHHERCE
t------'-T---
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--------linquirieslo
2. CONlRACf ORDERED AGAINST
Specific Provisioos Apply
3. PUROlASE
4. DEUVERY
S. ORDER DATE
1". SOURCE
Ibe
ORDER
ORDER
Procuremenl
7. SUB
lB. DATE PRINTED
PAGE
I
OF
2
I
NONE
X
10/1712000
Office.
NONE
0211012005
9. SUPPlJER'S ADDRESS
33309
10.
1099 TAX:
MISC
This Refer
,.,
Qrder
12. BDJ.JNG ADDRESS
No.
REFERENCEORDERNO.: OBUG-2001-40459-0-o
MEDIALINK.
1 II. EMPWYERI.D.
~.
lIIIISI"PPOI'on,n
NATIONAL PRESS Bun oING
inYoica and
52914111 STNW STE 1230
WASHINGTON DC 20045
b'-l
13. CONTAcr:
pactaS'" Fr.
MOI'llCAJENNINGS
charge over SI00
requires ,BiD or
BUREAU OF TIlE CENSUS
FINANCE DMSION
ROOM 3546, BUILDING 3
Lading.
13L lEl.: ZlI1-628-3IGO
WASHINGTON DC 20233-4400
I3b. FAX: 102-628-2377
14.
IS.
16.
17.
lB.
19.
20.
LINE
DESCRJPT10N
DEUVl!RY
QUANllTY
UNIT
UNJTPRlCl!
AMOUNT
ITEM
DATE
ISSUB
1 RENEWAL OF VIDEO NEWS RELEASE DISTRIBUTION
SERVICES FOR TIlE BUREAU OF TIlE CENSUS FOR TIlE
PERIOD OCTOBER 1,2000 TIfROUGH SEPTEMBER 30,2001
0913012001
18
60,000.0000
60,000.00
U.S. DEPARTMENT OF COMMt:RCE - TERMS AND CONDmONS
The roUowina lerms and conditions as well
any on 'llached sheets, Ipply when this document is used
, purchase order. If this documenl is used as , delivery order, it is subject.o Ibe terms and conditions or
Ibe conlraet referenced in BIo<:k M2 orlbe order.
S2.2S2-2 Caus
inCOlpOrsled by Reference (Apr 84). This contract inoorporslesthe roUowins c1suses by reference, with the
me force and effect
iflhey were
given in IUU lext Upon request, Ibe Contract;"B Officer wiU make fuD text 'vsilable.
NOTE:
NOTE 2
FULL TEXT CLAUSES ARE AVAILABLE AT HTIl'"JIWWW.ARNET.GOVIFARlFARQUERYFRAME.HTML
INVOICE MUST COINCIDE WITI1 LINE ITEMS ON PURCHASE ORDER
NOTE
3
INSn.UcnONS FOR SUBMlTI1NG fNVOiCES
ARE ATTACHED
NOTE 4
CONlRACTOR SHALL ALLOW l1ffi GOVT 30 DAYS FROM DEUVERY TO INSPECf & ACCEPT
NOTES
NOTE 6
CONlRACfORAGREES TO fNVOiCE NO LESS 1lIAN 30 DAYS AftER DEUVERY
52.240-2 INSPECfON OF SUPPUES - AXED PRICE
22 FOR INQUIRIES CALL
21. ORDERED BY (NAME AND TITLE)
23. FOB POINT
PAMILLER
301-763-3547
DESTIN
PURCHSGAGT
$60,000.00
26. CONTRACTlNGIORDERING OmCER SIGNATURE
27.
DATE SIGNED
2B. PROMPT PAYMENT
/29.
SffiP VIA
LACATIERTON
Y
N/A
10/1712000
\
/
30. SInP TO
(INCLUDE ON SHIPPING lABEL)
31. ISSUING OmCE
(DO NOT SlnP OR BIU. TO TIllS ADDRESS)
REFERENCE ORDER NO.: OBUG-2001-40459-0-0
BOC MAIN RECENING DOCK
ROOM 1203A, FOB 4
4700 SILVER IDLL ROAD
BUREAU OF THE CENSUS
ACQUISmON BRANCH, ROOM G-312-3
4700 SItVER HILL ROAD
AtID:
E M CAGLE
SUITLAND, MD 20746
SUIUAND MD 20746
Phone:
" FORM CD-404-EF 109-91) I. ORDER NUMBER. SUPPLY, EQUIPMENT OR SERVICE ORDER • U.S. 'OEPARTMERT
"
FORM CD-404-EF
109-91)
I. ORDER NUMBER.
SUPPLY, EQUIPMENT OR SERVICE ORDER
• U.S. 'OEPARTMERT OF COHHERCE
43-YA-BC-140459
(COHTIIIlJArIOH
SIlBEr)
32. SUPPLIER
33. ISSUING OFFICE
5. ORDER DATE
la. DATE PRINTEI>
PAGE
2
OF
2
MEDIALINK
I
1
1
BUREAU OF TIlE CENSUS
10/1712000
0211012005
34.
35.
36.
31.
38.
39.
40.
41.
UNE
MOL
QTY
QTY
FINAL
FULL ACCOUNTING CLASSIFICATION
P1ST%
AMOUNT
ITEM
RECVD
04 6741000-000 20 04-03-08-000 11-04-0009-00-00-00-00 25-20-04-00 000000
100%
60.000.00
42.
43.
44.
45.
46. SHIP TO ADDRESS
(lNCLUDB REF1lRI!NCI! ORDER NO.
ON SHIPPING LABEL)
42.
43.
44.
45.
UNI!
MOL
QTY
R.ECEIVING
UNI!
MOL
QTY
RECEIVING
ITEM
OFFICECODB
ITEM
OFFICE COPE
46. SHIP TO ADDRESS
(INCLUDE JlE1ll!RENCE ORDER NO.
ON SHIPPING LABEL)
41.
48.
so.
49.
UNE
REQUISITION NUMBER
REQUISITION DESCRIPTION
REQUISITIONER INFORMATION
ITEM
19166-0
Video News Release Servo (FY 2001)
PH DUNTON {W)301-763-2806 Loc: FB 3 Rm: 2705
52. RECEIPT SIGNATIJRE & TITLE
53. RECEIPT DATE
::IIIIII::::llr_l'::lllllli!~::i::!:li.151.TYPESHlPMENT
ACCEPTANCE:
1CERTIFYTIfAT ARTICLES ANPIORSERVICES
ANNOTATED
54.
ACCEPTANCE SIGNATIJRE & TITLE
55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WIllI nus ORDER, AS OF TIlE DATE SHOWN.