FORK CD-404-EF (09-971 . . . . I.

ORDER NUMBER
0.8. DEPARftlElIT OF CClHllERCE SUPPLY, EQUIPMENT OR SERVICE ORDER Use thio Order
Nombcr for 43-YA-BC-257962
I-------r---...L------..,..----T'----:---r--......
2. CONmACT ORDERED AGAINST PURCHASE
--..,..-
DELIVERY S. ORDER DATE 3. 4.
------!inquirieoto
the
PAGE I OF 2 Specific Provisions Apply ORDER ORDER Proourement 7. SUB 8. DATE PRIN"reD
NONE X 1013012001 0Iliee. NONE 0211012005
This Rererenco Order 12.IlILUNG ADDRESS
No. REFERENCB ORDER NO.: OBUG-2002-57962-0-o
_Ippear on III
.....ices ..... BUREAU OF THE CENSUS
pac:bs... F",ight FINANCE DIVISION
chotBeovcr SIOO
r<qUires1 BiD of ROOM 3546, BUILDING 3
Lad....
13LlEI.:• • • • •
WASHINGTON DC 20233-4400
13b. PAX: NONE \?LJ
14. IS. 16. 17. 18. 19. 20.
LINE DESCRIPTION DI!UVERY QUAJmTY UNIT UNITPRIC!! AMOUNT
ITEM DATE ISSUE

CONTRACTOR TO PROVIDE DIGITAL EDlllNG AND GRAPIDC 0913012002 m 13,000.0000 13,000.00

DESIGN INCLUDING CREATION OF VIDEO, RADIO AND
PHOTOGRAPHY SOURCE ELEMENTS FOR USE IN BROADCAST
AND WEB-BASED PRODUCTS.

PERIOD OF PERFORMANCE: DATE OF AWARD THROUGH

SEPTEMBER 30, 2002

CENSUS TASK MANAGER:

VICTOR ROMERO
301-457·2810

u.s. DEPARTMENT OF COMMERCE - TERMS AND CONDmONS

The following terms Ind conditions .. well .. Iny on Illllched ~ Ipply wheo Ibis document is used .. I purchlS. order. lflhis document is used os I delivery order. it;, subject to the terms ...d conditions of
the contJllet referenced in Block 112 ofthe order. S2.2S2·2 Clauses incorpor1lted by Ref.rence (Apr 84). This contJllet incorporates lb. following <Ious.. by reference, with lb...... force sod effect .. if they were
given in fuU text Upon request, the eo.....etiDg Officer will mot. full text lvailable.

NOTE: FUll TEXT C\.!IUSES ARE AVAILABLE AT HT11':/IWWW.ARNET.GOVIFARIFARQUERYFRAME.HTML

NOTE 2 INVOICE MUST COINCIDE WITH LINE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBMlDlNG INVOICES ARE ATTACHED
NOTE 4 CONTRACTOR SHAll AlLOW TIlE GOVT 30 DAYS FROM DEUVERY TO INSPECT &: ACCEPT
NOTES CONTRACTOR AGREES TO INVOICE NO LESS 1llAN 30 DAYS AFTER DEUVERY
NOTE 6 S2.246-2INSPECTON OF SUPPUES - FIXED PRIC!!

21. ORDERED BY (NAME AND 11T1.E) 22. FOR INQUIRIES CALL 23. FOB POINT 24. DISCOUNT TERMS
LA VANCE 301·763·1840 DESTIN 0% in 0 net 30
SUPVY PURCHSG AGT $13,000.00
26. CONTRAC11NGIORDERING OffiCER SIGNATURE 27. DATE SIGNED
LAVANCE 10/3012001 N/A
30. SHIP TO (INCLUDE ON SHIPPING LABEL) 3I. ISSUING OFFICE (DO NOT SHIP OR BILL TO THIS ADDRESS)
REFERENCE ORDER NO.OBLIG-2002-57962-0-0
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUlSmON BRANCH, ROOM G-312-3
4700 SILVER IDLL ROAD 4700 SILVER HILL ROAD
Attn: S B MASSIE
SUITLAND, MD 20746 SUITLAND MD 20746

Phone:
 FOIQI CD-404-EF (09-91) I. ORDEil NUMBEil
SUPPLY, EQUIPMENT OR SERVICE ORDER
• U.S. DEPAR'l'MBH'l' OF COHHE!lC£
lCOll'rllltlATIOIl SREi') 43-YA-BC-257962
132. SUPPUBR 33. ISSUING OFFICE 5.0RDEilDAlE lB. DAlE PRINTED
PAGE 2 OF
I JOHN FREEBURN BUREAU OF TIlE CENSUS 1013012001 I 0211012005
34. 35. 36. 37. 3B. 39. 40. 41.
UNE MDL QTY QTY FINAL FUlL ACCOUNTING CLASSIFICATION DIST% AMOUNT
IlEM RBCVD
04 0200000-000 21 10-02-07-000 11-04-0009-00.00-00-00 25-20-04-00 000000 100% 13.000.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
UNE MDL QTY RECBIVING (lNCLUDI! REi'EIlBNCI! ORDEil NO. UNE MDL QTY RJlCElVING (lNCUlDI! RI!FEIlI!NCE ORDl!ll NO.
IlEM OFFICE CODE ON SHIPPING LABEL) ITI!M OFFICI! CODE ON SHIPFING LABEL)

47. 4B. 49. so.

UNE REQmsmON NUMBER REQUIsmON DESCRIPTION REQmSITIONEll INfORMATION
ITEM
25608-0 DIGITAL EDITING AND GRAPHIC DESIGN (FY 02) S B MASSIE (W)JO 1-76J-JO12 Lac: FB J Rm: 2720

~i'IIII\;::~;""""""""""'" ··;;[\;'111~111\1111111[.151.
52. RECEIPT SIGNATIlRE &: TITLE 53. RECEIPT DATE
: : :.:.:':.;: :.:.:" TYPE SHIPMENT

ACCEPTANCE: I CERTIFY lHAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATIlRE &: TITLE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WITII TIUS ORDER, AS OF TIlE DATE SHOWN.