FORI!

CD-404-EF (09-911
U.S. DEPARTMENT OF COMMERCE
I SUPPLY, EQUIPMENT OR SERVICE ORDER
.....
Use this Order
Number for
1.0RDERNUMBER

43-YA-BC-D35886
r--------.,.----L-------.-----r----r-­
2. CONTRACT ORDERED AGAINST
__--~__,~~----_1inquirieslo
3. PURCHASE 4. DEUVERY 5. ORDER DAn: 16. SOURCE the
PAGE I OF 2 Specific Provisions Apply ORDER ORDER Procurement 1. SUB lB. DAn: PRINTED
NONE X 07/1412000 Office. NONE I 02/1012005
9. SUPPUER'S ADDRESS 58473 110. 10!l9 TAX: NONE This Reference 0nIcr 12. BILLING ADDRESS .
No. .~ REFERENCE ORDER NO.: OBLIG-2000-35886-D-D
GWBAL PHOTO ASSOCIATES INC
1075 PARK AVE
III. EMPLOYERI.D.,.... mUSl appear on aU
invoices end BUREAU OF TIlE CENSUS
13. CONTACT: pawges. Freishl FINANCE DIVISION
NEW YORK NY 10128 charge over Sloo
JOHN WAGMAN requires a BiU of ROOM 3546, BUILDING 3
\.ading.
13a. TEL: 917-492-0555
WASHINGTON DC 20233-4400
13b. FAX: 212-426-312S

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

UNE DESCRIPTION DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT

ITEM
DAn: ISSUE

PROVIDE 1HE FOLLOWING SERVICES FOR TIiE PERIOD JULY

11,2000 1HR.OUGH SEPTEMBER 30, 2000.

I PHOTOGRAPHIC SERVICES 09/3012000 JB 7,500.0000 7,500.00

u.s. DEPARTMENT OF COMMJ:RCE - TJ:RMS AND CONDmONS

The following tenns and conditions as weD as any on allached sheets, apply when !his document is used as a purdlase order. If!his document is used as a delivery order, it is subject 10 the lerms and conditions of
the contract referenced io Block 112 of the oreler. 52.252-2 Clauses incorporated by Reference (Apr 84). This contract iocorponles the following clauses by reference, with the same force and effect as if they were
given in full I""'. Upon request, the Contneting Offices will make IUD lext available.

NOn:: FULL TEXT CLAUSES ARE AVAILABLE AT Hnl':/IWWW.ARNET.GOVIFARIFARQUERYFRAME.HTML

NOn: 2 INVOICE MUS'[ COfNODE W1TIf UNE ITEMS ON PURCHASE ORDER
NOn: 3 fNSTRUCTIONS FOR SUBMITIlNG INVOICES ARE ATTACHED
NOn: 4 CONTRACTOR SHAlL ALLOW TIlE GOVT 30 DAYS FJlOM DEUVERY TO INSPECT & ACCEPT
NOn: 5 CONTRACTOR AGREES TO INVOICE NO LESS mAN 30 DAYS AFmR DEUVERY
NOn: 6 52.246-2 fNSPECTON OF SUPPUES • AXED PRICE

21. ORDERED BY (NAME AND TITLE) 22. FOR fNQUIRIES CAl.L 23. FOB POINT
PAMILLER 301-763-3547 DESTIN
PURCHSGAGT $7,500.00
26. CONTRACTfNG/ORDERING OffiCER SIGNATURE 27. DAn: SIGNED 128. PROMPT PAYMENT 129. SffiP VIA
L A CATTERTON
1 0711412000 I Y N/A
30. SHIP TO (INCLUDE ON SIllPPfNG LABEL)
3 I. ISSUfNG OffiCE (DO NOT SIllP OR BILL TO TIllS ADDRESS)
OBLlG-2000-35886-0-0
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
AtIn: E M CAGLE
SUITLAND, MD 20746 SUITLAND MD 20746
Pbone:
.j FOlU! CD-404-EF (09-97)
SUPPLY, EQUIPMENT OR SERVICE ORDER I. ORDER NUMBER
U. S. DEPARTMBII'r OF COMMERCE
(COIITIllUATIOR SBEJ:"1
43-YA-BC-035886

n. SUPPUER \B. DATE PRINTED

I
33. ISSUING OFFICE 5. ORDER DATE
PAGE 2 OF
GLOBAL PHOTO ASSOCIATES INC BUREAU OF TIIE CENSUS 07/1412000 I 0211012005
34. 35. 36. 37. 3B. 39. 40. 41.
UN!! MDL QTY QTY PINAL FULL ACCOUN11NG CLASSIFICATION DIST% AMOUNT
ITEM RECVD·
046741000-0002004-03-08-000 11-04-0009-00-00-00-0025-20-04-00000000 100% 7.500.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
UN!! MDL QTY REC1!1VlNG (INCLUDE RI!FERENCI;l ORDER NO. UN1! MDL QTY REC1!1VlNG (INCLUDE REFERENCE ORDER NO.
ITEM OFFICE CODE ON SHIPPING LABEL) ITEM OFFICE CODE ON SHIPPING LABEL)

47. 4B. 49. so.

UNE REQUISITION NUMBER REQUISITION DESCRIPTION REQUISITIONER INFORMATION
ITEM

17676-0 PhOlographic Services PH DUNTON (W)30 1-763-2806 Loc: FB 3 Rrn: 2705

1:.III:lljlill~i::.:············ ~IIb::~·:llill"":~~;;,,,,~I!!r:l.5_1_.TYl'
__ E_SII1P_MENT ;-5_2._RE_CElPT
_ _S_IG_N_A_ruRE
_ _"'_1llLE +5_3._RE_CElPT
_ _D_A_TE .,

ACCEPTANCE: I CERTIFY llIAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNAruRE '" TIlLE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WI1lI nus ORDER. AS OF TIlE DATE SHOWN.