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CO-404-EF 109-971
u.s. DEPAATHENT OF COHHERCE
I SUPPLY, EQUIPMENT OR SERVICE ORDER
use~der
Number for
1.0RDERNUMBER
43-YA-BC-373365
I------...----'-------.......
2. COIflRACT ORDERED AGAINST
-----r----r------r---------linquirieslo
1. PURCHASE 4. DEUVERY 5. ORDER DATE 16· SOURCE !he
PAGE I OF 2 Specific ProYi5iol1s Apply ORDER ORDER PnlQIrement 7. SUB 18. DATE PRINTED
I
9. SUPPUER'S ADDRESS
1099 TAX:
1I EMPLOYER l.
I.
.om: 1212412002
This
No.
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musloppear 00 aD
iovoica and
\2- BIU-JN(j ADDRESS
REFERENCEORDEIlNO.:
OB1IG-2oo3-73365-o-o
0211012005
given .. fuD1_
!he COIIb'act refereu<cd .. Biodt III of tile order. 52.252-2 Clauses iacorponled by Reference (AIM" 14). This CODIla<I iacorpomes lite followias do..... by reference, lriJI!he ...... force aDd dfect IS j{ they ~
req-.
Upoo \be Colllnc:lina Offioa- will II1II<. fiIJI_ .....bIe.
Phone:
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FO!\ll·!;1}-40HF 109-91) SUPPLY t EQUIPMENT OR SERVICE ORDER I. ORDER NUMBER
u.s. DEPARnIENT OF COHHERCE • (CONTIRUATION SHEET) 43-YA-BC-373365
42. 43. 44. 45. 46. SIDP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
LINE MDL QTY RECEJVJNG (INCLUDE lU!lERENCE ORDER NO. LINE MOL QTY RECEMNG (lNCLUD£ REFERENCE ORDER NO.
ITEM OmCBCODE ON SHIPPING LABEL) ITEM OmCECODE ON SHIPPING LABEL)
31078-0 Renewal afPO #43- YABC-140973 S B MASSIE (W)301-763-3012 Lac: FB 3 Rm: 2720
ACCEPTANCE: I CBR11FYlllAT ARTICUS AND/ORSERVlCESANNOTATED 54. ACCEPTANCE SIGNATIJRE I!L TI11.E 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEP1ED AS COMP\.Y1NG
wrrn TInS ORDER, AS OF TIlE DATE SHOWN.