~ -.

FORM CD-404-EF 109-n) ~ I. ORDER NUMBER

u. S. DEPARTMENT OF COHHERCE SUPPLY, EQUIPMENT OR SERVICE ORDER Use thiS Order
Numb<f for 43-YA-BC-S983SS
r------T:-:::-:=:-:-:~-::-::~__:__:_-..,.----.__--.....,r:__:_ r:_:::=::_=----~inquiries 10
2. CONnACT ORDERED AGAINST 3. PURCHASE 4. DELIVERY S. ORDER DATE . SOURCE the
PAGE I OF 2 Specific Provisions Apply ORDER ORDER Procuremenl 7. SUB 8. DATE PRINTED
NONE x 1212012004 OffICC.
NONE 02/1012oos
9. SUPPLIER'S ADDRESS This Reference Order 12. BIU.JNG ADDRESS
No. REFERENCJ! ORDER NO.: OBLIG-200S-983SS-o-o
must appear on aD
invoices and BUREAU OF THE CENSUS
IJ. CONTACT: b L/ ) pacbges. F....bt
cIwJe ave< $100
FINANCE DIVISION
NONE ~ requires a BiD of ROOM 3S46, BUILDING 3
Ladina·
I3L~IV
13b. FAX: NONE b WASHINGTON DC 20233-4400

14. IS. 16. 17. IS. 19. 20.

UNE DESCRIP110N DEUVERY QUANTITY UNIT UNlTPRlCE AMOUNT
ITEM DATE ISSUE

RENEWAL OF BROADCAST MEOlA PRODUCTION SERVICES 1213112005 18 18,000.0000 18,000.00

INCLUDING SCRIPT WRITING, PRODUCING, DlRECTlNG,
LANGUAGE TRANSLATIONS, RESEARCHING AND
PRODUCTION ASSISTANCE FOR CREATING BROADCAST AND
IN HOUSE VIDEO AND RADIO PROGRAMS. ALSO INCLUDES
PHOTOGRAPHY SCOlITlNG, SCHEDULING, PRODUCTION AND
PHOTO EDfllNG. INCUDES OTHER DIRECT COSTS.

PERlOD OF PERFORMANCE: JANUARY 1,2005 TIIROUGH

DECEMBER 31,2005

CENSUS TASK MANAGER:

MlKEMORGAN
301-763-3045

ALTERNATE TASK MANAGER:

TOM WEBSTER
301-763-3053

U.s.DEPARTMENTOFCOMMmCE·TDlMSANDCONDmONS
The foUowios tenns and concIitio", as weD as any on altacbc:d ~, apply when this 110_ is used as a pwchase order. HIbis ~ is used as a ddivay order, it is .ubject 10 the tenns and coarIilions of
_e
the contract refercaced in Block Ir2 of the order. S2.2S2·2 C1allSeS incorpo~ed by Reference (Apr 14). This coatract incorporales doe followios duses by reference, with the some force and drectas if they
given in fUIIlext. Upon request, the Conlractina Officer will make fiIIl texta..iIabIe.

NOTE: RJU.. TEXT CLAUSES ARE AVAILABLE AT HITPJIWWW.AI\NET.GOVIFARIFARQUERYFRAME.HTMI..

NOTE 2 INVOICE MUST COINCIDE WITIl LINE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBM1TIlNG INVOICES ARE ATTACHED
NOTE 4 CONTRACTOR SHAll ALLOW 1lIE GOVT 30 DAYS FROM DEJ.JVERY TO INSPECT a: ACCEPT
NOTES CONTRACTOR AGREES TO INVOICI! NO lESS THAN 30 DAYS AFJEIl DEUVERY
NOTE 6 S2.2#-2 INSPECTON OF SUPPUES • FIXED PRICE

21. ORDERED BY (NAME AND 1T11.E) 22. FOR INQUIRIES CALL 23. FOB POINT 24. DISCOUNT TERMS
LAVANCE 301-763-1840 DESTIN 0% in 0 net 30
SUPVY PURCHSG AGT S18,ooo.00
26. CONTRACTING/ORDERING OFFICER SIGNATURE 27. DATE SIGNED 28. PROMPT PAYMENT 29. SHIP VIA

LAVANCE 1212012004 Y NlA

30. SHIP TO (/NO-lJDE ON SHIPPING LABEL)
3I. ISSUING OFFICE (DO NOT SHIP OR Bn.L TO TJlIS ADDRESS)
OBLlG-200S-983S5-0-o
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 SlLVER HlLL ROAD
Attn: M S MORGAN
SUITLAND, MD 20746 SUITLAND MD 20746
Phone:
 F<JRH CD-404-~F (09-91) \. ORDI!ll NUMBI!ll
U. S. DEPARTMENT OF COHHERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER
(COIITIIItlJl,TION SHEET) 43-YA-BC-598355

PAGE 2 OF
32.SUPPUER 33. ISSUING omCE 5. ORDER DATE 18. DATE PRIN11ID
LAUREN HOPE BRENNER \
BUREAU OF TIIE CENSUS 1212012004 I OVI012005
34. 35. 36. 37. 38. 39. 40. 4\.
UNE MDL QTY QTY FINAL FIJI.L ACCOUNTING CLASSIPICATION D1ST% AMOUNT
JTI!M RECVD

0402OOOOO-OOO 21 10-02-07-000 11-04-0009-00-00-00-00 25-20-04-00 00000o 1000/0 18.000.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SIBP TO ADDRESS
UNE MDL QTY RECEIVING (INCLUDE REFERENCE ORDER NO. UNE MOL QTY Rl!Cl!lVlNG (INCLUDE REFERENCE ORDER NO.
ITEM OmCECODE ON SHIPI'fNG LABEL) ITEM omceCODE ON SIBPPlNG LABEL)

47. 48. 49. so.

LINE REQlnSmON NUMBER REQUISITION DESCRIPTION REQlnSmONERINFORMATION
ITEM

39573-0 Renewal for PO YAI323-04-SE-0382 PH DUNTON (W)301-763-2806 Loe: FB 3 Rm: 2705

51. TYPE SlllPMENT 52. RECEIPT SIGNAJURE & TITLE 53. RECEIPT DATE

ACCEPTANCE: I CERTIFY 1HAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNAJURE & TITLE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WITII nus ORDER, AS OF mE DATE SHOWN.