J •
,f ~.,
FORM CD-404-EF (09-91)
U.S. DEPARTMENT OF COMMERCE
I SUPPLY, EQUIPMENT OR SERVICE ORDER
Ule~
NumherCor
I.ORDERNUMBER
43-YA-BC-486339
r------..,..---.. . . ------~---....,,.._--.....,,.._----,......:_:_=-----_1inquirieslO
2. CONlllACT ORDERED AGAINST 3. PUROIASE 4. DEUVERY 5. ORDER DATE . SOURCE Ibo
PAGE I OF 2 Specific Provisions Apply ORDl!R ORDER ~t 7. SUB IS. DATE PRINTED
NONE X 0111412004 0IIic0. NONE I 02/1012005
9. SUPPLIER'S ADDRESS 33309 :0. 1099 TAX: MISC This Reference Q!dcr 12 BD..1DIG ADDRESS
MEDlALJNK No, ~ RI!fIlRENCE ORDl!R NO.: OBLlG-2004-86339-o-o
NATIONAL PRESS BUILDING 1 II.EMPWYERI.D.
.
mwtoppelJ'onaO
invoices aod BUREAU OF nre CENSUS
52914TIlSTNWSlE 1230
WASHINGTON OC 20045
13. CONTACT: II
. - 1J8Cb8cs. Preisbl
charse ........ SIOO
FINANCE DIVISION
MONlCAJENIllJNGS requires a Bill of ROOM 3S46, BUILDING 3
\.adins.
WASHINGTON OC 20233-4400
13b. FAX: 2111-Q8-2377
14. IS. 16. 17. Il 19. 20,
UN£ D1!SC1UPl10N DEUVERY QUANllTY UNrr UNIT PRICE AMOUNT
IlEM DATE ISSUE
I CONTRACTOR TO PROVIDE BROAOCAST DISTRIBtmON 1213112004 JB 8,400.0000 8,400.00
SERVICES TO INCLUDE THE HARD COpy (TAPE AND DISC)
AND SATELLITE DlSTRlBtmON OF BROAOCAST VIDEO.
RADIO AND PHOTOGRAPHY PROGRAMS.
INCLUDES OTHER DIRECT COSTS
PERIOD OF PERFORMANCE: JANUARY 1,2004 TIIROUGH
DECEMBER 31, 2004
CENSUS TASK MANAGER - MIKE MORGAN 301-763-3045
ALTERNATE TASK MANAGER- TOM WEBSTER 301-763-3053
U.S. DEPARTMENT OF COMMmCr. - TERMS AND CONDmONS
TIle following terms and condilions as weU as any on allachcd "-s. apply when this do""""", is used as a purchase order. 1C Ibis document is used as a delivery order, it is subject to the terms and conditions of
the oolllf8Cl refermced in 810ck 1/2 of the order. 52,252-2 Clauses incorporated by Ilefemu:e (Apr 84). This contract incorporates the following clauses by reference, with the same foree and effec:l as if tIley were
siven in fuU text. Upon request, the Coalraetin8 0fIicer wiD make fun text ovailable.
NOTE: FUll TEXT CLAUSES ARE AVAILABLE AT HITP:/IWWWARNET.GOVIFARIFARQUERYFRAME.HTML
NOTE 2 INVOICE MUST COINCIDE WITII UNE IlEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBM1TJ1NG ~01CES Ioo! ATTAOIED
NOTE 4 CONlllACTOR SHAll ALLOW TIlE GOVT 30 DAYS FROM DEUVERY TO INSPECT '" ACCEPT
NOTES CONlllACTOR AGREES TO INVOICE NO LESS mAN 30 DAYS AFlER DEUVERY
NOTE 6 S2,Z46-2INSPECTON OF SUPPLIES - FIXED PRICE
"=-~6':"'3': '-'"- ":'-;: ,. ~~"'::.'::; j:,~"":f';"l1
21. ORDERED BY (NAME AND TITLE)
PAMlLLER
PURCHSGAGT $_8_'4_0_0_.0_0-l
26. CONlllACTlNGIORDER1NG omCER SIGNATURE
LA VANCE
r
27. DATE SIGNED
0111412004
1 2S. PROMPT PAYMENT
Y
29. SHIP VIA
N/A
1
30. SHIP TO (INCLUDE ON SHIPPING LABEL)
311SSUlNG omCE (DO NOT SHIP OR BIl.L TO TIllS ADDRESS)
OBLlG-2004-86339-O-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUISITION BRANCH, ROOM G-312-3
4700 SlLVER IDLL ROAD 4700 SILVER HILL ROAD
Attn: S B MASSIE
SUITLAND, MD 20746 SUITLAND MD 20746
Phone:
· 'r ~
FORM CD-404-EF (09-91) I. ORDER NUMBER
U. s. DEPARTMENT OF COHHERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-486339
(COllTlIlUATIOB SBU:TI
PAGE 2 OF 2 132. SUPPUI!R 33. ISSUING OmCE 5. ORDER DA11! 18. DA11! PRINTED
MEDlALINK BUREAU OF mE CENSUS 01l14flOO4 I 02l10fl005
34. lS. 36. 37. 38. 39. 40. 41.
UNE MOL QTY QTY FINAL FUlL ACCOUNTING CLASSIFICATION D1ST% AMOUNT
ITEM RECVD
04 0200000-000 21 10-02-07-00011-04-0009-00-00-00-00 25-20-04-00 000000 100% 8.400.00
42. 43. 44. 45. 46. SIUP TO ADDRESS 41. 43. 44. 45. 46. SIUP TO ADDRESS
LINE MOL QTY RECEIVING (INCLUDE REFERENCI! ORDER NO. UNE MOL QTY RECEIVING (IN<1UDE REFERENCE ORDER NO.
ITEM OmCECODB ON SIUPPING LABEL) ITEM OFFICE CODE ON SIUPPfNG LABEL)
47. 48. 49. 50.
UNE REQUISITION NUMBER REQUISITION DESCRIPTION REQUISITIONER INFORMATION
ITEM
35649-0 'Renewal afPO #43-YABC-372360 S B MASSIE (W)301-763-3012 Loe: FB 3 Rm: 2720
:!I::ill:i!:I_",:,::",::::"";'::",i~:;:",:··I,,,I.r,-51_._TYP_E_S_HIP_ME_NT t-52_.RE_C_EI_PT_SI_G_NA_TIlRE
__ &:_ll1U -+_53_.RE_CElP_T_DA_TE -1
ACCEPTANCE: 1CERTIFY lllAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATIlRE &: l1TLE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED,INSPECTED AND ACCEPTED AS COMPLYING
WI11l nus ORDER, AS OF nm DATE SHOWN.
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