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FONi CD-404-£F (09-97)

U. S. DEPARTMENT OF CotiHERC£ SUPPLY, EQUIPMENT OR SERVICE ORDER Use~dcr I. ORDER NUMBER

Number for 43-YA-BC-490960


1------..,---......Jl------.,.----..,.----...,...-----,~=~~---__1inquiriesto
2. CONTRACT ORDERED AGAINST 3. PURCHASE 4. DELIVERY the
PAGE I OF 2 Specili< Provisioaa Apply ORDER ORDER Procurement 7. SUB 8. DATE PRINTED
NONE X Oflice. NONE 02/1012005
9. SUPPUER'S ADDRESS 35549 10. 1099 TAX:
,.1.1 ~'.' •
II. EMPLOYER LD. #
BUREAU OF TIffi CENSUS
13. CONTACT: FINANCE DMSION
NONE ROOM 3546, BUILDING 3

WASHINGTON DC 20233-4400

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


UNE DESCRIPTION DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

CONTRACTOR TO PROVIDE PHOTOGRAPHY SERVICES 1213112004 JB 2,500.0000 2,500.00


INCLUDING INDMDUAL PHOTOGRAPHERS AND SERVICE
FACILITIES PROVIDING SUPPLIES, LOCATION PHOTOGRAPHY
AND DIRECTION, PHOTOGRAPHY PROCESSING AND
DELIVERY AND OllIER DIRECT COSTS.

PERIOD OF PERFORMANCE: DATE OF AWARD TIlROUGH


DECEMBER 31,2004

CENSUS TASK MANAGER:


MICHELE FREDA
301-763-3051

ALTERNATE TASK MANAGER:


MIKE MORGAN
301-763-3045

U.S. DEPARTMENT OF COMMERCE - TERMS AND CONDmONS


The follow. . terms ond conditions .. welJ os all)' on allached sbeets, Iljlply wben this document is U!<d OS a purchase order. If this document is used os a delivery order. it is subject to the terms ond conditions of
the contra<l referenced in Block 112 of the ordet. 52.252-2 CI...... incorporated by Ref<mIce (Apr 84). This contra<l incorporakS the IOlowins cia.... by reference, Mth the ...... force lAd effect IS if they _ .
given in f\rU text. Upon request, the e-raeting OffICer wiU make f\rn·lcXl.vaiiable.

NOTE: FULL TEXT a..AUSES ARE AVAILABLE AT 1fTTP:/IWWW.ARNET.GOVIFARIFARQUERYFRAME.HTML


NOTE 2 INVOICE MUST COINQDE Wl1lI UNE ITEMS. ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBMITTING INVOICES ARE AITAOlED
NOTE 4 CONTRACTOR SHAU. AllJJW THE GOVT 30 DAYS FROM DEUVERY TO INSPECT &: ACCEPT
NOTES CONTRACTOR AGREES TO INVOICE NO LESS TIJAN 30 DAYS AFTER DEUVERY
NOTE 6 52.246-2 INSPECTON OF SUPPLIES - FIXED PRICE

21. ORDERED BY (NAME AND TITLE)


LA VANCE
SUPVY PURCHSG AGT $2,500.00
26. CONlRACTINGlORDERING OFFICER SIGNATURE 27. DATE SIGNED 28. PROMPT PAYMENT 29. SHIP VIA
LA VANCE 0512012004 Y NIA
30. SHIP TO (INCLUDE ON SmpPING LABEL) 31. ISSUING OFFICE (DO NOT SHIP OR BILL TO nns ADDRESS)
OBLIG-2oo4-90960-0-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF llIE CENSUS
ROOM 1203A., FOB 4 ACQUISmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Attn: S B MASSIE
SUITLAND, MD 20746 SUITLAND MD 20746

Phone:
FORM CD-404-EF (09-97) I. ORDER NUMBER
U.S. DEPARTHEN'l' OF CQlHERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-490960
lCONTIIIOATIOR SHEET)

PAGE 2 OF 2
32. SUPPUER /33. ISSUING OffiCI! S. ORDER DATE IS, DATE PRINTED
MlCHELLEFRANKFURTER BUREAU OF TIlE CENSUS 0512012004 0211012005
34. 3S. 36. 37. 3S. 39. 40. 41.
UNE MDL QTY QTY FINAL FUlL ACCOUtmNG CLASSIFICATION DIST% AMOUNT
ITEM RECVD
1 1 1 040200000-000 21 10-02-07-000 11-04-0009-00-00-00-00 25·20-04-00 000000 IOOO!c 2.500.00

42 43. 44. 4S. 46. SHIP TO ADDRESS 42 43. 44. 4S. 46. SHIP TO ADDRESS
UNE MOL QTY RECEIVING (lNUUDE REFERENCE ORDER NO. UNE MOL Qrr REC£IVING (INCLUDE REFERENCI! ORDER NO.
l1EM OffiCI! CODE ON SHIPPING LABEL) ITEM OfFICE CODE ON SHIPPING LABEL)

41. 48. 49. so.


UNE REQUlSmON NUMBER REQUlsmON DESCRIPTION REQUIsmONER INFORMAnON
ITEM

36544-0 Renewal ofPOH 43-YABC·140161 S B MASSIE (W)301-763-3012 Lx;: FB 3 Rm: 2720

S2 RECEIPT SIGNATURE&: TITLE S3. RECEIPT DATE

ACCEPTANCE: I CERTIFY THAT ARTIQ.ES AND/OR SERVICES ANNOTATED S4. ACCEPTANCE SIGNATURE &: TITLE SS. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
W111l TIfIS ORDER, AS OF TIlE DATE SHOWN.

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