Sunteți pe pagina 1din 2

FORK CD-404-EF (09-97)

U.S. DEPARTMENT OF CCHIERCE


I SUPPLY, EQUIPMENT OR SERVICE ORDER
~
~:':~der
I. ORDER NUMBER.
43-YA-BC-020414
r------.....,.---......- -----......- ---,-----r-----.......16.- __---------linquiriesto

2. CONTRACT ORDERED AGAINST 3. PURCHASE 4. DBUVERY 5. ORDER DATE SOURCl! the


PAGE I OF 2 Specific ProvisiollS Apply ORDER ORDER Procutement 7. SUB 18. DAn; PRINTED
NONE X 1012111999 Olficc. NONE 0211012005
9. SUPPLIER'S ADDRESS 33309 10. 1099 TAX: MlSC This lWeronuQrdcr 12. BIUJNG ADDRESS
OBLIG-200o-20414-O-O
1II.~LOYERI.D.~ . . . . . RI!FIlRENCE ORDER NO.:
No.
MEDIALINK muIt appear on aU
NATIONAL PRESS BUILDING invoices and BUREAU OF TIlE CENSUS
529 14TI1 STNW STE 1230 13. CONTACT: bL( pacbsrs. Freight FINANCE DMSION
WASHINGTON DC 20045 cbaIge over $100
MONlCA JENNINGS requires a BiD of ROOM 3546, BUILDING 3
13L TI!L: 101-621-3808
Ladinz.
WASHINGTON DC 20233-4400
13b. FAX: 101-618-1377

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


UNE DESCRIPTION DBUVERY QUANITIY UNIT UNITPRICI! AMOUNT
ITEM DAn; ISSUE

I RENEWAL OF VIDEO NEWS RELEASE DISTIUBUTION 09/3012000 18 100,000.0000 100,000.00


SERVICES FOR TIlE BUREAU OF TIlE CENSUS FOR TIlE
PERIOD OCTOBER I, 1999 TIlROUGH SEPTEMBER 30, 2000

PREVIOUS PO #l43YABC907222

U.S. DEPARTMENT OF COMMERCE - TERMS AND CONDITIONS


The following terms and conditions as weRas any on attached sbeeb. ~ply when IhiI documenl is used as a purchaseord.... If this dOCWllCftI is used as a delivery order, it is subject 10 the lerms and conditions of
the coll\nlCl referenced in Block #2 of the order. 52.252-2 Clauses incorporaled by Referonu (Apr 84). This contract incorporalrs the following cia.... by reference, with the same force and eIfect as if they were
given in fuillcrt. Upon requcs~ the ConUading OffICeI' will make fuD I"" available-

Nom: FUll TEXT~USES ARE AVAlLABU! AT 1ITTP:/IWWW.ARNET.GOVIFARlFARQUBRYFRAME.1fIML


NOTE 2 INVOICE MUST COINCIDE WITIi LINE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUcnONS FOR SUBMITTING INVOICES ARE ATTACHED
NOTE 4 CONTRACfOR SHALL AlLOW TIlE GOVT 30 DAYS FROM DEUVBRY TO INSPECT & ACCEPT
NOTES CONTRACTOR AGRE.ES TO INVOICE NO U!SS 11IAN 30 DAYS AFTER DEUVERY
NOTE 6 52.246-2 INSPECTON OF SUPPI.IES • FIXED PRICE

21. ORDERED BY (NAME AND TITLE)


LA VANCE
SUPVY PURCHSG AGT
26. CON"ffiAClTNGIORDERlNG OmCER SlGNATURE
22. FOR INQlJIRIES CALL
301-763-1840
23. FOB POINT
DESTIN

27. DAn; SIGNED


"':"m":,'::
-r2B.
II
PROMPT PAYMENT 129. SHIP VIA
$100,000.00

L A CATTERTON 1 1012111999 I Y N/A


30. SHIP TO (INCLUDE ON SIHPPING LABEL) 31. ISSUING OffiCE (DO NOT SHIP OR BIlL TO TInS ADDRESS)
OBLlG-2000-20414-0-0
REFERENCE ORDER NO.' •
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

AtlD: E M CAGLE

SUITLAND, MD 20746 SUITLAND MD 20746

Phone:

FORM CD-404-EF (09-911 I. ORDER NUMBER
U. S. DEPARTMENT OF COMHERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-020414
(CONTI_TION SBEET)

132. SUPPUER 133. ISSUING OffICE 5. ORDER DATE lB. DATE PRINTED
PAGE 2 OF 2
MEDIALINK BUREAU OF TIlE CENSUS 10121/1999 I 0211012005
34. 35. 36. 37. 38. 39. 40. 41.
UNE MOL QTY QTY ANAL FUlL ACCOUNTING CLASSIFICATION DIST% AMOUNT
ITEM RECVD

04 6741000-000 20 04-03-oS-OOO 11-04-0009-00-00-00-00 25-20-04-00 00000o 100% 100.000.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
UNE MOL QTY RECEIVING (INCLUDE IlEFERENCE ORDER NO. UNE MOL QTY RECEIVING (INCLUDE REFERENCE ORDER NO.
ITEM OFFJCECODE ON SHIPPING LABEL) ITEM OPFICECODE ON SHIPPING LABEL)

47. 4B. 49. SO.


UNE REQUISITION NUMBER REQUISITION DESCRIPTION REQUISITIONER INFORMATION
ITEM

951S-o Video News Release Servo (FY 2000) PH DUNfON (W)301-763-2S06 Lec: FB 3 Rm: 2705

~:!II'IIII!ii_",!~'I:,,"~~il!~:~~r NT 52
_51_'TYP
_ _E_S_HlP_lo4E_ t-_.RE_C_EIPT
__ SI_G_N_ATURE
_ _"'_11TI.E -i1-5_3._RE_C_E_IPT_D_A_TE_----I

ACCEPTANCE: I CERTIFY mAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATURE '" 11TI.E 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED. INSPECTED AND ACCEPTED AS COMPLYING
WITH TIllS ORDER. AS OF TIlE DATE SHOWN.

S-ar putea să vă placă și