• FORM CD-404-&F (09-97)

O. S. DEPAilTMEHT OF CCMlERCE SUPPLY, EQUIPMENT OR SERVICE ORDER UIO~de< I. ORDER NUMBER

Number for 43-YA-BC-372362

t--------r--:~:::_~_=_:__
2. CONTRACT ORDERED AGAINST
---_r----T"""-......:.-._ ~ __
-""T__::_::=~----__1inquiries to
3. PURCHASE 4. DEUVERY 5. ORDER DATE the
PAGE I OF 2 SpecifIC Provisions Apply ORDER ORDER Procurement 7. SUB 8. DATE PRINTED
NONE X 11/0612002 Oflice. NONE 0211012005
10. I099 TAX: MISC This Referenee
No.
11. EMPLOYER I.D.•: IIlU5t appear OD an
invoices aDd BUREAU OF TIfE CENSUS
13. CONTACT: packas... Fre;ghl FINANCE DMSION
clwge over SIOO
NOi'IE r"",ires a Bill o( ROOM 3546, BUILDING 3
l3a.TEL:~
Lading.
WASHINGTON DC 20233-4400
13b.FAX:~V&

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

UNE DESCRIPTION DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

CONTRACTOR TO PROVIDE DIGITAL EDITING AND GRAPI-UC 1213112003 18 8,000.0000 8,000.00

DESIGN TO INCLUDE TIfE CREATION OF VIDEO, RADIO AND
PHOTOGRAPHY SOURCE ELEMENTS FOR USE IN BROADCAST
AND WEB-BASED PRODUCTS. INCLUDES OTIfER DIRECT
COSTS.

PERIOD OF PERFORMANCE: DATE OF AWARD THROUGH

DECEMBER 31, 2003

CENSUS TASK MANAGER: MIKE MORGAN 301-763-3045

ALTERNATE TASK MANAGER: TOM WEBSTER 301-653-3053

U.S. DUARTMENr OF COMMERCE - TERMS AND CONDmONS

The fonowing terms and conditions as well as any OD attached sheets, apply """" this document is used as a purchase order. If this ~ is used as a delivery order, it is subject to the lenTIl and conditions of
the conlJaCl referenced in Block #2 o( the order. 52.252-2 Clauses incorporated by Refereuce (Apr 84). This contract incorporales the folowing clauses by reference, with the same (orce and efI'ect as if they were
giYm in fun text. UpOn request, the eoDtraeting Ollicer will make fun tCl<\ available.

NOTE: RJLL TEXT CLAUSES ARE AV ~LE AT HTIl':IIWWW.ARNET.GOVIFARlFARQUERYFRAME.trfML

NOTE 2 INVOICE MUST COINCIDE WIlli LINE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBMITTING INVOICES ARE ATTACHED
NOTE 4 CONTRACTOR SHAlL AlLOW lHE GOVT 30 DAYS FROM DEUVERY TO INSPECT & ACCEPT
NOTE 5 CONTRACTOR AGREES TO INVOICE NO LESS l1IAN 30 DAYS AFTER DELIVERY
NOTE 6 52.246-2 INSPECTON OF SUPPLIES· FIXED PRICE

21. ORDERED BY (NAME AND TITLE) 22. FOR INQUIRIES CALL 23. FOB POINT 24. DISCOUNT TERMS
PAMILLER 301-763-3547 DESTIN 0% inO net 30
PURCHSGAGT $8,000.00
26. CONTRACTlNGIORDERlNG OFFICER SIGNATURE 27. DATE SIGNED
LAVANCE 11/0612002 NIA
30. SHIP TO (INCLUDE ON SHIPPING LABEL) 31. ISSUING OFFICE (DO NOT SHIP OR BILL TO TInS ADDRESS)
OBLlG-2003-72362-0-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF TIfE 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 SUITLAND MD 20746

Phone:
"

P'ORH CD-404-EF (09-91) I. ORDER NUMBER

U. 8. DEPARTMENT OF COHHBRCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-372362
ICOIITlHUATIOH 8HEET)

PAGE 2 OF 132. SUPPIJER 33. ISSUING'OmCE 5. ORDI!R DATE lB. DATE PRINTED
STEVE BITILE BUREAU OF TIlE CENSUS lI106flO02 I 02l10fl005
34. 35. 36. 37. 38. 39. 40. 41.
LINE MOL QTY QTY FINAL PUlL ACCOUNTING CLASSIFICATION D1ST% AMOUNT
ITEM RECVD

046210000-000 20 04-03-02-000 11-04-0009-00-00-00-0025-20-04-00000000 100010 8.000,00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
LINE MOL QTY RECEIVING (IN(1UDE REFE1lI!NCB ORDI!R NO. LINE MOL QTY RECEIVING (INCLUDE REFI!REJ'ICE ORDER NO.
ITEM OmCECODE ON SHIPPING LABEL) ITEM OmCECODB ON SHIPPING LABEL)

47. 4B. 49. 50.

LINE REQUISITION NUMBER REQIJISmON DESCRIPTION REQIJISmONER INFORMATION
ITEM

30654-0 ·Renewal of PO #43-YABC-032S71 S B MASSIE (W)301-763-3012 Loc: FB 3 Rm: 2720

.!.:ll:illlll_lrll.3.: 5_1_'T
_YP
_E_S_HlP_ME_NT _ _S_IG_N_A_TURE
+5_2._REC_ElPT __ &_TTI1.E -+_53_'RECEIPT D_ATE -t
ACCEPTANCE: I CI!RTIFY TIlAT ARTICLES AND/OR SI!RVlCES ANNOTATED 54. ACCEPTANCE SIGNATURE & TITLE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WITH nns ORDER. AS OF TIlE DATE SHOWN.