Escolar Documentos
Profissional Documentos
Cultura Documentos
U. S. DBPARTHEIl'r OF COHHERCE
l
-.------,.-------------------------,----..0.;::-1::-::==-=-==-----,
SUPPLY, EQUIPMENT OR SERVICE ORDER u.e.Jter I.ORDERNUMBER
Number ror 43-YA-BC-486283
t------T"-:-:--.L-------,-----r-----.r-----.......,r--__........------iiaqllirieslO
PAGE I Of 2
2. CONTIlACT ORDERED AGAINST
Specific ProvisiOIll Apply
3. PURCHASE 4. DEUVERY S. ORDER DATE ~. SOURCE
ORDER ORDER
dlc
Procwement 7. SUB
r8. DATE PRINTED
NONE X OIllJfl004 Ollioe. NONE 02llOflOO5
9. SUPPUER'S ADDRESS 33412 110. 1099 TAX: NONE This Rd'erence ~
12. BILLING ADDRESS
_ _ anaU
No. ~
Rl!FERl!NCB ORDER NO.: OBLIG-2004-86283-Q-0
VIDEOFILES INC III.EMPWYERI.D.~
1011 ARLINGTON BLVD STE T-4 iovoic<s..... BUREAU OF THE CENSUS
ARLINGTON VA 22209
13. CO~Acr: pi-{ pactaaes. freight
charse 0"'- $100
FINANCE DMSION
LAlIRE'ITA SKIGEN "'IuireaoBilior ROOM 3546, BUILDING 3
Lading.
130. TEL: 703-524-8334
WASHINGTON DC 20233-4400
13b. FAX: 703-524-1627
21. ORDERED BY (NAME AND TIlLE) 22. FOR INQUIRIES CAlL 23. FOB POINT 24. DISCOUNT nRMS
LA VANCE 301-763-1840 DESTIN 0% inO net 30
SUPVY PURCHSG AGT $3,450.00
26. CONTRACTING/ORDERING omCER SIGNATURE 27. DATE SIGNED 128. PROMPT PAYMENT \29. SHIP VIA
LAVANCE
1 Olll3flOO4 I Y I N/A
30. SIUP TO (INCLUDE ON SIUPPING LABEL) 31. ISSUING omCE (DO NOT SHIP OR BILL TO TIllS ADDRESS)
OBLIG-2004-86283-0-0
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
Attn: S B MASSIE
SUITLAND, MD 20746 SUffiAND MD 20746
Phone:
FO~ CD-404-EF (09-97) I. ORDEIl NUMBER
. • U. 8. DBPARftlEllT OF COMMERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-486283
lCOllTlllUATIOIl S8EET)
132. SUPPUER 33. ISSUING OmCE 5. ORDEIl DATI! lB. DATE PRINTED
PAGE 2 Of 2
VIDEOFILES INC BUREAU OF THE CENSUS 0111312004 I 02110/2005
34. JS. 36- 37. 3B. 39. 40. 41.
liNE MOL QTY QTY FINAL FULL ACCOUNTING CLASSIFICATION DIST% AMOUNT
ITI!M RECVD
04 0200000-000 21 10-02-07-000 11-04-0009-00-00-00-00 25-20-04-00 000000 100% 3.450.00
42. 43. 44. 45. 46. SlUP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRI!SS
lJNB MOL QTY RECEIVING (lNCLUDI! REPERl!NCE ORDER. NO. UN); MOL QTY RECEIVING (lNa-VOE Rl!l'l!RENCI! ORDER NO.
ITI!M OmCECODE ON SHIPPING LABEL) ITEM OFFICE CODE ON SlUffING LABEL)
35661-0 °Renewal of POll 43-YABC-Q I9869 S B MASSIE (W)301-763·3012 Loc: FB 3 Rm: 2720
Ili!r;i.~t~~t ''':~llllilliiIJjlilllr
52. RECEIPT SIGNATIJRE &; l1TLE 53. RECEIPT DATE
I. TYPE StuPMENT
ACCEPTANCE: I CERTIFYTIlAT ARTIa.:ESANDIORSERVlCES ANNOTATED 54. ACCEPTANCE SIGNATIJRE &; TITI.E 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED,INSPECTED AND ACCEPTED AS COMPLYING
WITH nus ORDEIl, AS OF nm DATI! SHOWN.