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FORK CO-404-EF (09-97)


U.S. OEPARTIlt:NT OF CCHlERCE
I SUPPLY, EQUIPMENT OR SERVICE ORDER ~=~
~ I. ORDER NUMBER
43-YA.BC-258005
1------~---......L------_r----T""'---T""'----_r~=~----__1inquiriesto
2. CONTRACI ORDERED AGAINST 3. PURCHASE 4. DELIVERY S. ORDER DATE 6. SOURCE the
PAGE I OF 2 SpecificPlOvisionsApply ORDER ORDER Procurement 7. SUB Is. DATE PRINTED
NONE X 1013012001 Ollice. NONE I 0211012005
9. SUPPUER'S ADDRESS 55885 :0. 1099 TAX: NONE This Refereace Order 12. BILUNG ADDRESS
PETREE MEDIA ­ ~ No. ~ REFERENCE ORDER NO.: OBUG·2oo2-58005-Q-O
518 GSTNE 111. EMPLOYERI.D.
.
IPu.toppearoooD
invoices aod BUREAU OF THE CENSUS
13. CONTACI: t:>4 pacbaa· Freight
cbaqje over 110ll
FINANCE DIVISION
WASHINGTON DC 20002 COREY PnuE r"'l";"" Bill of ROOM 3546, BUILDING 3
L&ding.
138. 1EL: 102-486-4919
WASHlNGfON DC 20233-4400
13b. PAX: NONE

K Ii
16. 17. lB. 19. 20.
LINE DESCRIPTION
DI!UVERY QUAJmTY UNIT UNIT PRICE AMOUNT
ITEM
DATE ISSUE

I DIGITAL EDITING AND GRAPlflC DESIGN ­ 09/3012002 m 13,000.0000 13,000.00


INCLUDES THE 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 CONTACT: VICTOR ROMERO 301-457·2810

U.S. DEPARTMENT OF COMMERCE - TERMS AND CONDmONS


The following terms ..,d co...itions AS well .. "'y on .ttacl1ed sheets, apply _ this d~ is osed . . . pllrchase order. If this d~ is osed delivery order. it is subjed 10 Ibe terms .... co...itions of

the conlraet referenced in Block 112 oflbe order. S2.2S2-2 CI&..... incorporared by Refereoc:e(Apr 84). This conlraet incorporates Ibe following c by refer..... with the same force aod eIfect .. if they were

given in fullIOllt. Upon request, the Contneting Officer will make ruu _.vailable.

NOTE: FULL TEXT CLAUSES ARE AVAlLABU ATHTJP:/IWWW.ARNET.GOVIFARIFARQUERYFRAME.lITML


NOTE 2 INVOICE MUST COINCIDE W1TIf LINE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBMITl1NG INVOICES ARE AlTACHED
NOTE 4 CONTRACIOR SHAlL ALLOW THE GOYT 30 DAYS FROM DEUVERY TO INSPECI &; ACCEPT
NOTES CONTRACIOR AGREES TO INVOICE NO LESS mAN 30 DAYS AFTER DEUVERY
NOTE 6 S2.241>-2INSPECTON OF SUPPUES - FIXED PRICE

24'~:::::n:;; ~~;,:
21. ORDERED BY (NAME AND TITLE) 22. FOR INQUIRIES CALL 23. FOB POINT
PAMILLER 301-763-3547 DESTIN
PURCHSGAGT $13,000.00
26. CONTRACT1NGlORDERlNG OmCER SIGNATURE 27. DATE SIGNED Fl. PROMPT PAYMENT ""29....=SHIP==VIA~------1

LAVANCE
1 1013012001 I Y N/A
30. SHIP TO (INCLUDE ON SHIPPING LABEL) 31. ISSUING OPACE (DO NOT SHIP OR BILL TO THIS ADDRESS)
OBLlG-2002-58005-0-0
REFERENCE ORDER NO.:
BOC MAIN RECENING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUlSmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Attn: S B MASSIE

SUITLAND, MD 20746
SUITLAND MD 20746

Phone:
cORll CD-404-EF (09-97) I. ORDER NUMBER
U. S. DEPARTHBIft OF COHHEIlCE
SUPPLY, EQUIPMENT OR SERVICE ORDER
(COHTlIlUATIOH SHEET) 43-YA·BC-258005

PAGE 2 OF 2
32. SUPPLIEIt 33.ISSUING omCE 5. ORDER DATE 18. DATE PRINTED
\
PETREE MEDIA 1 BUREAU OF TIm CENSUS 10/3012001 I 0211012005
34. 35. 36. 37. 38. 39. 40. 41.
IJNI! MOL QTY QTY FINAL FULL ACCOUNTING CLASSIFlCAnON DIST% AMOUNT
ITEM RECVD
04 0200000-000 21 10-02-07-000 11-04-0009-00-00-00-00 25-20-04-00 00000o 100% 13.000.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
IJNI! MOL QTY RECEIVING (INCLUDE REFERENCE ORDER NO. IJNI! MOL QTY RECEIVING (INCLUDE REFERENCE ORDER NO.
ITEM omCECODE ON SHIPPING LABEL) ITEM omCECODE ON SHIPPING LABEL)

47. 48. 49. so.


LINE REQUISITION NUMBER REQUISITION DESCRIPllON REQUlsmONER INFORMATION
ITEM

25597-0 DIGITAL EDITING AND GRAPHIC DESIGN (FY 02) S B MASSIE (W)301-763-3012 Loc: FB 3 Rm: 2720

:lllllllrll:II_ _ ;,::;.::::",:J. ..5_'_'T_


YPE_SHIP_ME_NT
_ +5_2._RE_CE_IPT_S_IG_N_A_TURE
_ _"_TITLE -+-5_3_.RE_CE_IPT_D_A_TE -1
ACCEPTANCE: I CERTIFYTIlAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATURE" TITLE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPL¥lNG
wrm nus ORDER, AS OF TIlE DATE SHOWN.

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