FOR;-!

CD-404-EF (09-97}
U.8. DEPARTMENT OF CCHlERCE
I SUPPLY, EQUIPMENT OR SERVICE ORDER
....
=:er I. ORDER NUMBER
43.YA-BC.032498
r------.,.__CONTRACT
-:-=--:J-------...
ORDERED AGAINST 3. PURCHASE
2.
----r----r-----"r'"~~~----_1inquiriesto
4. DEUVERY 5. ORDER DATE 6. SOURCE the II
PAGE 1 OF 2 Specific Provisio.. Apply ORDER ORDER PrO<Uremenl 7. SUB 8. DATE PRlNTED
NONE _ X 0412512000 0fIicc. NONE 0211012005

I
9. SUPPUER'S ADDRESS 55885 :O.1ll99TAX: NONE TbisRefereoccl!!d« 12. BILlJNGADDRESS

~
PETREE MEDIA No. ~ RIlFERENCEORDERNO.: OBLlG-2000-32498-0-0
II. EMPLOYER I.D. musloppear on aU
518GSTNE , invoica Illd BUREAU OF TIlE CENSUS
13. CONTACT; l-( packages. Freighl FINANCE DMSION
WASHINGTON DC 20002 charS" over $100
COREY PETREE requires a Bill of ROOM 3546. BUILDING 3
13a. TEL: 101-486-4919 Lading.
WASHINGfON DC 20233-4400
13b. FAX: NONE

14. 15. 16. 17. lB. 19. 20.

UNE DESCRIP110N DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM ~
DATE ISSUE

PROVIDE THE FOLLOWING FROM THE DATE OF AWARD

lHROUGH SEPTEMBER 30. 2000.

I DIGITAL EDITING SERVICES 0913012000 I m 20,000.0000 20,000.00

u.s. DEPARTMENT OF COMMERCE - TERMS AND CONDmONS

The followislg IermSIlld coll(\iIions u weIlu"'Y on al1atbed "-'s, apply when this document is used u a purchase order. If this docum... is used u a deJiyel}' order, it is subject 10 the lenm and conditions of
the conbllCl referenced in Block lIZ of the order. 52.252·2 Clauses inc:orporaled by Reference (Apr 84). This conbacl inc:orporateo the following clowes by reference, with the ,ame force and elfea u if they were
given in CuD Iext. Upon ~ the Comraeting Officer will mate IUD text available.

Non;;; FUlL TEXT CLAUSES ARE AV AlLABLE AT HTIl';/IWWW.ARNET.GOVIFARIFARQUERYFRAME.HTML

NOTE 2 INVOICE MUST COINCIDE WTOi LINE fIlOMS ON PURCHASE ORDER
Non;; 3 INSTRUCTIONS FOR SUBMITI1NG INVOICES ARE ATTACHED
Non;; 4 CONTRACTOR SHALL ALLOW 11IE GOVT 30 DAYS FROM DEUVERY TO INSPECT 8< ACCEPT
NOn;; 5 CONTRACTOR AGREES TO INVOICE NO LESS TIIAN 30 DAYS AFTER DEUVERY
Non;; 6 52.246·2INSPECTON 01' SUPPUES - FIXED PRICE

21. ORDERED BY (NAME AND TITLE)

PAMILLER
PURCHSGAGT $20,000.00
26. CONlRACllNGIORDERlNG OfflCER SIGNATURE 27. DAn;; SIGNED p', PROMPT PAYMENT 1 29. SHIP ViA
L A CATTERTON
1 0412512000 I Y N/A
30. SHIP TO (INCLUDE ON SIDPPING LABEL) 3I. ISSUING OfflCE (DO NOT SHIP OR BIU. TO ntiS ADDRESS)
REFERENCE ORDER NO. OBLlG-2oo0-32498-0-0
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUlSmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Atb1: EM CAGLE
SUITLAND, MD 20746 SUITLAND MD 20746

Phone:
 FORM CD-404-EF \09-97) I. ORDER NUMBER
• u. S.DEPARTIlElI'I' OF COMMERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-032498
\COll'l'IIIUA,.IOII SIIEE,.,

PAGE 2 OF
32. SUPPUER 33. ISSJJING omCE S. ORDER DATE la. DATE PIUNTED
1 PETREE MEDIA BUREAU OF THE CENSUS 0412512000 I 0211012005
34. 3S. 36. 31. 38. 39. 40. 41.
UNE MOL QTY QTY FINAl. FUU. ACCOUNTING CLASS1F1CATION OIST% AMOUNT
ITEM RECVD

046741000-000 20 04-03-08-00011-04-0009-00-00-00-00 25-20-04-00 000000 100% 20.000.00

42. 43. 44. 4S. 46. SHIP TO ADI)RESS 42. 43. 44. 4S. 46. SHIP TO ADDRESS
WII! MOL QTY RECEIVING (INCLUDE REfERENCE ORDI!R NO. lJNE MOL QTY RECEIVING (lNCWDB REfERENCE ORDI!R NO.
ITEM OFFICE CODE ON SHIPPING LABEL) ITEM DmCECODE ON SHIPPING LABEL)

47. 48. 49. so.

UNE REQUISITION NUMBER REQUISITION DESCRIPTION REQUlSlTIONER INFORMATION
ITEM

15806-0 Digital editing services for the period through September 30, 2000. PH DUNTON (W)301-763-2806 toe: FB 3 Rm: 2705

:[I!~III!lll.lll!jIIII111~lllljIISI.
S2. RECEIPT SIGNATURE &; TITI.E S3. RECEIPT DATE
TYPE SHIPMENT

ACCEPTANCE: I CERTIFYnlAT ARTICLES ANDIORSERVICES ANNOTATED S4. ACCEPTANCE SIGNATURE&; TITLE SS. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WI1H nus ORDER, AS OF THE DATE SHOWN.