FORM CD-404-EF (09-97)

U.S. DEPARTHEMT OF COMMERCE

I SUPPLY,-EQUIPMENT OR SERVICE ORDER
......
~:':~~der
1.0RDERNUMBER
43-YA-BC.598999
t------...2.---..L------.....,.----,....---:---r--==
CONlRACT ORDERED AGAINST
-TIL:-:-::=~----_1inquiriesto
3. PURCHASE 4. DI!lJVERY 5. ORDER DATE SOURCE the 1".
PAGE 1 OF 2 Specilic ProvisiollS Apply ORDER ORDER Pro....ement 7. SUB IS. DATE PRII(J'EO
NONE X 0111312005 Office. NONE I 02/1012005
9. SUPPUEll.'S ADDRESS 61792 10. I099 TAX: MISC This Reference Order 12. BIUlNG ADDRESS

~
VENTANA PRODUCTIONS INC
No. '::.j; REPERENCE ORDER NO.: OBLlG-2ooS-98999-o-o
II.EMPWYERLD. must appear on an
182S K ST NW NO SOl . invoices and BUREAU OF TIlE CENSUS
13. CONTACT: b I-f paebSes. Freight
chaJge over $100
FINANCE DIVISION
WASHINGTON DC 20006 VlCKISKATZt:S requires 1 BiD of ROOM 3S46, BUILDING 3
"
LldinB·
131. TEL: 102785-S112
WASHINGTON DC 20233-4400
I3b. FAX: NONE

I~ I~ 16. 17. 18. 19. 20.

LIN!! DESCRIPTION DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

I CONTRACTOR TO PROVIDE FIELD PRODUCTION SERVICES TO 121311200S ill 5,000.0000 S,Ooo.oo

INCLUDE TIm DIRECTING, PRODUCING AND INDIVIDUAL
SERVICES REQUIRED FOR PRODUCTION OF BROADCAST AND
IN-HOUSE VIDEO, RADIO AND PHOTOGRAPHY SERVICES.
INCLUDES OTIIER DIRECT COSTS.

PERIOD OF PERFORMANCE: JANUARY I, 200S THROUGH

DECEMBER 31, 200S

TASK MANAGER: MIKE MORGAN 301-763-304S

ALT. TASK MANAGER: TOM WEBSTER - 301·763-30S3

U.s. DEPARTMENT OF COMMEIlCE - TERMS AND CONDmONS

The followinB terms ODd conditions IS weD IS Ill)' on atllched - . apply wIIeG this docummt is used IS a purchase order. If this document is used IS a dcliYety order, it is .ubject to the terms ODd conditio.. of

Biven in fuBt_
the contJlcl referenced in Block 112 ufthe order. 52.252-2 CIo..... iocorponted by Reference (Apr 34). This conlJBC\ incorporates the followinB cIo..... by reference, with the 51me force ond effect .. if they were
Upow request, the Contrletina 0fIicer will moke fun text ovailohle.

NOTE: FULL TEXT ClAUSES ARE AVAILABLE AT HTJP:/IWWW.AIlNET.GOVIF.ARlFAilQUERYFRAME.HTML

NOTE 2 INVOICE MUST COINCIDE WIlli UNE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBMITIlNG INVOICES ARE ATTACHED
NOTE 4 CONlRACTOR SHAll ALLOW llIE GoVT 30 DAYS FROM DEUVEllY TO INSPECT a: ACCEPT
NOTE 5 CONlRACTOR AGREES TO INVOICE NO LESS llIAN 30 DAYS AFTER DEUVERY
NOTE 6 52.246-2INSPECTON OF SUPPUES - FIXED PRICE

21. ORDERED BY (NAME AND TITI.E) 22. FOR INQlnRIES CALL 23. FOB POINT 24. DISCOUNT TERMS
PAMILLER 301-763-3S47 DESTIN 0% in o net 30
PURCHSGAGT $5,000.00
26. CONTRACTINGIORDERING OFFICER SIGNATURE 27. DATE SIGNED 128 . PROMPT PAYMENT 129. SIUPVlA

LAVANCE 1 01/131200S Y N/A

30. SIUP TO (INCLUDE ON SInPPlNG LABEL) 31. ISSlnNG OFFICE (DO NOT SIUP OR !lILL TO TInS ADDRESS)
OBLlG-200S-98999-0-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUISmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Attn: M S MORGAN
SUITLAND, MD 20746 SUnLAND MD 20746

Phone:
,...------'--.,--------------------------,-------------.
SUPPLY, EQUIPMENT OR SERVICE ORDER
FORM CD-404-EF (09-97)
O. S. DEPAR'ftlE1l'l OF COHKERCE ICOIlTIllOATIOlI SHEET)
I. ORDER NUMBER
43·YA-BC-598999

PAGE 2 OF
32. SUPPLIER ]]. ISSlJIIiG OFFICE 5. ORDER DATI! 18. DATI! PRINTED
2.
1
VENTANA PRODUCTIONS INC BUREAU OF TIlE CENSUS 01113/2005 I 02/1012005
]4. ]5. 36. ]7. ]8. ]9. 40. 41.
UNE MOL QTY QTY FINAL FUll ACCOUNTING CLASSIFICATION DIST% AMOUNT
ITEM RECVD
04 0200000-000 21 10..{l2..{l7-000 1l-04-o009-OO..{lO..{lO-OO 25-20-04..{lO 000000 100% 5.000.00

42. 4]. 44. 45. 46. SHIP 10 ADDRESS 42. 4]. 44. 45. 46. SlUP 10 ADDRESS
UNE MOL QTY IU!CI!IVJNG (INCLUDE REFJl1U!NCE ORDER NO. UNE MOL QTY RECIlIVING (INCLUDE RIlFERENCE ORDER NO.
ITEM OFFICE CODE ON SHIPPING LABEL) ITEM OFFICE CODE ON SlUPPING LABEL)

47. 48. 49. 50.

LINE REQUlSrnON NUMBER REQUlSrnON DESCRIPTION REQUlSrnONER INFORMATION
Ill!M

39670..{l Renewal of POll YA1323-04-SE-0413 PH DUNfON {W)301-763-2806 Loe: FB 3 Rm: 2705

!1.11111~\II.,..... I'j"'l.lt"':11IL5_I._TYP_E_S_H1_P_ME_NT _tr_5-2._RE_C_EIP_T_S1_G_N_ATURE

_ _&_TI_TLE -+5_]_.RE_CEIPT
_ _D_A_TI! --1
ACCEPTANCE: I CERTIFY THAT ARTIa.ES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATURE & TITLE 55. ACCEPTANCE DATI!
ABOVE HAVE BEEN RECEIVED,INSPECTED AND ACCEPTED AS COMPLYING
wrrn THIS ORDER, AS OF THE DATE SHOWN.