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FORM CD-404-EF (09-97)

U.S. DEPARTMENT OF COMMERCE


I SUPPLY, EQUIPMENT OR SERVICE ORDER
USe~nIeJ
Numborfor
I.ORDERNUMBER
43-YA-BC.259585
t------.,---.....I-------r-----r------r-----.. . .16.
2. CONlRACT ORDERED AGAINST 3. PURCHASE 4. DEUVERY 5. ORDER DATE
- -------1inquiries 10
SOURCE the
PAGE I OF 2 Specific Provisions Apply ORDER ORDER Procurcmcnt 7. SUB 18. DATE PRINTED
NONE X 12/0712001 Office. NONE 02/10/2005
9. SUPPLIER'S ADDRESS 38897 10. 1099 TAX: MISC This Rcferenc:e~ 12. BllJ.JNG ADDRESS
No. ~ REFERENCE ORDER NO.: OBLlG-2oo2-59585-o-o
HOME FRONT COMMUNlCATIONS LLC 11. EMPWYER I.D must Ippear on .n
1919 M STNW STE 240 1 .- invoices Ind BUREAU OF THE CENSUS

WASHINGTON DC 20036
13. CONTACT: b4 pocbges. Freight
cllarge over SIOO
FINANCE DlVIS10N
PAULJIRICK requires I BOI of ROOM 3546, BUlLDlNG 3
Lldiog.
13.. TEI.: 202-544-8400
WASHINGTON DC 20233-4400
I3b. FAX: 202-544-6448

14. 15. 16. 17. 18. 19. 20.


liNE DESCRIPTION DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

1 CONTRACTOR TO PROVIDE BROADCAST DlSlRIBUTION 0913012002 m 20,000.0000 20,000.00


SERVICES INCLUDING THE HARDCOPy (rAPE AND D1Sq AND
SATELLITE DlSlRIBUTION OF BROADCAST VIDEO, RAD10,
AND PHOTOGRAPHY PROGRAMS.

PERIOD OF PERFORMANCE: DATE OF AWARD TIIROUGH


SEPTEMBER 30, 2002

CENSUS TASK MANAGER:

VICTOR ROMERO
301-457-2810

U.S. DEPARTMENT OF COMMERCE· TERMS AND CONDITIONS


The following """"1lId conditions .. wcIIaslllY on """ched ~,lpply _ this document is used .. I purchase order. If this document is used .. I delivery order, it is subjecllo the terms and conditions of
the conlIlet referenced in BJod:.2 of the order. 52.252·2 C...... incorporated by Reference (Apr 84). This conlrlet incorporotes the following clauses by rer.rence, with the same force and elfcctas if they wore
given in rull text. Upon request, the Controc1ing Officer will moke fuB text lvailoble.

NOTE: FUU TEXT CLAUSES ARE AVAILABLE AT 1fITP:/IWWW.ARNET.GOVIFARlFARQUERYFRAME.1ITML


NOTE 2 INVOICE MUST COINCIDE W1TIl UNa ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUcnONS FOR SUBMITI1NG INVOICES ARE ATTACHED
NOTE 4 CONlRACTOR SHAlL Al.WW THE GOVT 30 DAYS FROM DEUVERY TO INSPECT.t ACCEPT
NOTES CONlRACTOR AGREES TO INVOICE NO LESS TItAN 30 DAYS AFTER DEUVERY
NOTE 6 52.246-2 INSPECTON OF SUPPUES • FIXED PRICE

21. ORDERED BY (NAME AND TIlLE) 22 FOR INQUIRIES CALL 23. FOB POINT 24. DISCOUNT TERMS

LAVANCE 301-763-1840 DESTIN 0% in 0 net 30


SUPVY PURCHSG AGT $20,000.00
26. CONlRAC1lNGIORDERING OFFICER SIGNATURE 27. DATE SIGNED 128. PROMPT PAYMENT T29.SIDPVIA

LA VANCE
30. SIDP TO (INCLUDE ON SIDPPING LABEL)
I 12/0712001 I
31. ISSUING OFFICE (DO NOT SIDP OR BILL TO nus ADDRESS)
YIN/A

OBLIG-2002-59585-0-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUISITION BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Attn: S B MASSIE
SUITLAND, MD 20746 SUIlLAND MD 20746

Phone:
"

FORM CD-404-EF (09-97) I. ORDER NUMBER


U. S. DEPAR'nIENT OF COHHERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER
lCONTIIlUATION SREET) 43-YA-BC-25951l5

PAGE 2 Of
32. SUPPUER 133. ISSUING OFFICE 5. ORDERDATI! 18. DATI! PRINTED
2
1 HOME FRONT COMMUNICATIONS LLC BUREAU OF THE CENSUS 1210712001 I 0211012005
34. 35. 36. 37. 38. 39. 40. 41.
UNE MOL QTY QTY ANAL FULL ACCOUNIlNG CLASSifiCATION DlST% AMOUNT
I1EM RECVD
046741000-0002004-03-08-000 11-04-0009-00-00-00-00 25-20-04-00 000000 100% 20.000.00

42. 43. 44. 45. 46. SHIP TO ADORESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
LINE MOL QTY RECEIVING (INCLUDE RBFERElICE ORDER NO. UNa MOL QTY REcmvING (INCLUDE RE!'E1lENCI! ORDER NO.
ITI!M OFFICE CODE ON SHIPPING LABEL) llEM OfFICE CODE ON SHIPPING LABEL)

47. 48. 49. so.


UNa REQUISITION NUMBER REQUlsmON DESCRIPTION REQUlSmONER INfORMATION
ITEM

26099-0 BROADCAST DISTRIBlITlON SERVICES (FY 02) S B MASSIE (W)301-763-3012 Loc: FB 3 Rrn: 2720

:11:illi~III[.i.;:.::.:.·.·.·.:.:.·.··.·.·.·.·.····· ····~I!llIlIlii·
52. RECEIPT SIGNATURE 8< TITI..E 53. RECEIPT DATI!
51. TYPE SIDPMENT

ACCEPTANCE: I CERTIfY THAT ARTICLES AND/OR SERVICES ANNOTATED


ABOVE HAVE BEEN RECEIVED,INSPECTED AND ACCEP1ED AS COMPLTING
==iL-------+---------------+--------1 54. ACCEPTANCE SIGNATURE 8< TITLE 55. ACCEPTANCE DATE

wrrn nus ORDER, AS Of TIlE DATE SHOWN.

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