FOI1H CD-404-EF (09-97)

ll. S. DEPARTHEIl'l' OF COHHERCE SUPPLY, EQUIPMENT OR SERVICE ORDER Use~der J. ORDEIlI'lUMBER

Number for 43-YA-Be-598353

I------.,-::-:':":":~_=_ _=_:__:_
2. CONlRACT ORDERED AGAINST
___,r_---,...---.... --__=_""':"'"_r."':":'::_::_:::_----_fioquiries to
3. PUROIASE 4. DELlVER.Y S. ORDEIl DATE . SOURCE the
PAGE I OF 2 Specific PwvisioDS Apply . ORDER. ORDER. Procurement 7. SUB 8. DATE PRINTED
NONE X 1212012004 Office. NONE 0211012005
9. SUPPUER'S ADDRESS 35549 10. 1099 TAX: This Reference Order 12. BILLING ADDRESS
No. REFERENCI! ORDER. NO.: OBLlG-2005-98353-o-0
I J. ElofPLOYER i.D. must Ippear OA at
iIowices and BUREAU OF THE CENSUS
pad<as... Freiglll FINANCE DIVISION
cbarg. over $100
requires a BiD of ROOM 3546, BUILDING 3
I3LTEL LadiDa-
WASHINGTON OC 20233-4400
I3b. FAX.

14. IS. 16. 17. 18. 19. 20.

liNE DESCRIPTION DELlVER.Y QUANTITY UNIT UN1TPRICE AMOUNT
ITEM DATE ISSUE

RENEWAL OF PHOTOGRAPHY SERVICES INCLUDING 1213112005 m 2,250.0000 2,250.00

INDIVIDUAL PHOTOGRAPHERS AND SERVICE FACILITIES
PROVIDING SUPPLIES, LOCATION PHOTOGRAPHY AND
DIRECTION, PHOTOGRAPHY PROCESSING AND DELIVERY.
INCLUDES OTIlER DIRECT COSTS.

PERIOD OF PERFORMANCE: JANUARY 1,2005 THROUGH

DECEMBER 31, 2005

CENSUS TASK MANAGER:

MICHELE FREDA
301-763-3051

ALTERNATE TASK MANAGER:

MIKE MORGAN
301-763-3045

PREVIOUS PO IIYA132304SE0626

u.s. DEPARTMENT OF COMMERCE - TERMS AND CONDmONS

The IOlowins terms and conditions as well .. any OR altacbed sheets, apply wbea dlis ~ is ....... as • pwcbase order. If this ~ is a cIeIivery order, it is sub;ect to the terms and conditioDS of
the conIrId rdereo<:ed" B10ek 12 oCthe Older. 52.252-2 CIa incorporated by Reference (Apr 14). This coAlrad iDco<pontes the So cia by reference, with the same forte and e1£ed .. ifchey wer.
siYeD ia fun text. Upon request, the CoAlradintl Officer wiD fun texlavlilable.
NOTE: FULL TEXT CLAUSES ARE AVA1LABl£ AT HTIP:lIWWW.ARNET.GOVIFARIFARQUEIlYFRAME.HTML
NOTE 2 INVOICE MUST COINCIDE W1TIi UNE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBMITl1NG INVOICES ARE ATTACHED
NOTE 4 CONTRACTOR SHAlL AlLOW mE GOVT 30 DAYS FROM DELlVER.Y TO INSPECT '" ACCEPT
NOTES CONTRACTOR AGREES TO INVOICE NO l£SS mAN 30 DAYS AFTER DEUVERY
NOTE 6 52.246-2INSPECTON OF SUPPUES - FIXED PRICE

21. ORDERED BY (NAME AND TITl£) 22. FOR INQUIRIES CAlL 23. FOB POINT 24. DISCOUNT TERMS
LA VANCE 301-763-1840 DESTIN 0% inO net 30
SUPVY PURCHSG AGT $2,250.00
26. CONTRACTINGIORDERING OFFICER. SIGNATURE 27. DATE StGNED
LA VANCE 1212012004
30. smr TO (INCLUDE ON SlfiPPING LABEL) 31. ISSUING OFFICE (DO NOT smr OR BIU. TO THIS ADDRESS)
REFERENCE ORDER NO.: OBLlG-2oo5-98353-o-0
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 120JA, FOB 4 ACQUlSmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
At1n: M S MORGAN
SUITLAND, MD 20746 SunLAND MD 20746
Phone:
FOro! CD-404-EF (09-97) I. ORDER NUMBER
SUPPLY, EQUIPMENT OR SERVICE ORDER
U. S. DEPARTMEIIT OF CCHoI£RCE
(COIITJNt1ATION SII£ET) 43-YA-BC-598353

PAGE 2 OF
32.SUPPUER 33. ISSUING OFFICE 5. ORDER DAn Is. DAn PRINTED
MICHELLE FRANKF1JRTER 1 BUREAU OF TIlE CENSUS 1212012004 I 02/1012005
34. 35. 36. 37. 3S. 39. 40. 41.
UNE MOL. QTY QTY FINAL. FUll ACCOUNTING CLASSIFICATION DIST% AMOUNT
ITEM RECYD

040200000-000 21 10-02-07-000 11-04-0009-00-00-00-00 25-20-04-00 000000 100% 2.250.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42 43. 44. 45. 46. SIUP TO ADDRESS
UNE MOL. QTY RECEIVING (INCLUDE REFERENCE OllDER NO. l..INE MDL. QTY RECEIVING (INCLUDE REFERENCE ORDER NO.
ITEM OFFICE CODE ON SHIPPING I.ABEL) ITEM OFFICE COD!! ON SIDPPING I.ABEL)

47. 4S. 49. so.

UNE REQUIsmON NUMBER REQUISITION DESCRIPTION REQUISmONER INFORMAnON
InM

39574-0 Renewal ofPOll YA1323-04-SE-0526 PH DUNTON (W)301-763-2806 Loc: FB 3 Rm: 2705

_III1I1IIII III;1III! 51. TYPESHIP~NT 52. RECEIPT SIGNAnJRE 8< TITI.E 53. RECEIPT DAn

55. ACCEPTANCE DATE

ACCEPTANCE: I CERTIFY 1lIAT ARTICLES AND/OR SERVlCES ANNOTATED 54. ACCEPTANCE SIGNATURE 8< TIlLE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEpnD AS COMPL.Y1NG
W1TI1 TInS ORDER, AS OF THE DAn SHOWN.