FOIlM CD-404-EF (09-97) . . . . . I. ORDER.

NUMBER
B. DEPAR~ OF COHIIERCE SUPPLY, EQUjpMENT r
OR, SERVICE ORDER UJe this Order
Number for 43-YA-BC-S9902S
-'-----.....,r.2.:-co=Nll!A=7:CT ST::-r-:3 P:::URCHASE=:::::T4=-.=DEUVER.=-===yTs=-.=ORD::::ER::-:D~ATE=-T,"'"==::-------1:::irIcs to
=-=0::RD=ERED==-=-A::OAIN-:== -=.

IPAGE I OF 2 Speci& Provisions Apply ORDER ORDER I'rocuroment 1. SUB 8. DATE PRINIED
NONE X 011141200S Office. NONE 021101200S
This RoIaem:e 12. BlUJNGADDRESS
No. llEFEllEHCE ORDER NO.: OBUG-2ooS-99025-0-o
must oppear OD on
iDYoic:esud BUREAU OF TIlE CENSUS
13. CONTACT: pacbg... Freigbl FINANCE DIVISION
cbus. over SI 00
HUBERT DOBSON requires a BiU of ROOM 3546, BUILDING 3
I~L TEL:~b{P LadiDg.
WASHINGTON DC 20233-4400
13b. FAX: NONE

14. IS. 16. 11. 18. 19. 20.

UNE DESCR\P110N DI!LIVERY QUANlTfY UNIT UNlTPRJCE AMOUNT
ITEM DATE ISSUE

CONTRACTOR TO PROVIDE BROADCAST MEDlA 121311200S JB 22,Soo.oooo 22,SOO.00

PRODUcnON TO INCLUDE: SCRIPT WRITING, PRODUCING,
DIREcnNG, LANGUAGE TRANSLATIONS, RESEARCHING AND
PRODUCTION ASSISTANCE FOR CREATING BROADCAST AND
IN-HOUSE VIDEO AND RADIO PROORAMS. aLSO INCLUDES
PHOTOGRAPHY SCOUTING, SCHEDUUNG, PRODUcnON AND
PHOTO EDITING. INCLUDES anIER DIRECT COSTS.

PERIOD OF PERFORMANCE: JANUARY 1, 200S lHROUGH

DECEMBER 31, 200S.

TASK MANAGER: MIKE MORGAN 301-763-304S

ALT. TASK MANAGER: TOM WEBSTER 301-763-30S3

u.s. DEPARTMENT OF COMMERCE - TERMS AND CONDrnoNS

The folio........... ODd condi1ions .. well .. UI)I on _cbed aheels, IlJlPIy wIIcu this document is used .. a purchase order. Jrthis ~ is used .. a delMry order, it is sut;ea to Ihe _ ODd conditio.. of
Ihe conlrlcl referenced in Block 112 oflhe order. S2.252-2 Clauses iocorpon.... by Reference (Apr 84). This conInct iDcorpontes die folio.... cla..... by referen<:e, with !he same force and eII'ecI .. if they were
given in fillleXI. Upoa requeol, the Contral:lius Oflil:er wiI DDke CuD textavoilable.

NOTE: RJllTEXTa..AUSESAREAVAILAllLEATHTIP:lIWWW.ARNET.GOVIFARIFARQUERYFRAME.HTML
NOTE 2 INVOICE MUST COINODE wrrn UNE ITEMS ON PURCHASE ORDER
NOTE 3 INS11lUcnONS FOR SUBMITTING ~OICES ARE ATTAOIED
NOTE 4 CONTRACTOR SHALL AUOW TIfI! GOVT 30 DAYS FROM DEUVERY TO INSPECT &. ACCEPT
NOTES CONTRACTOR AGREES TO INVOICE NO LESS TItAN 30 DAYS AFTER DELIVERY
NOTE 6 S2.246-2 INSPECTON OF SUPPLJES - FIXED PRICE

21. ORDERED BY (NAME AND llTI.E) . 22. FOR INQUIRIES CAlL 23. FOB POINT 24. DISCOUNT TERMS
PAMILLER 301-763-3S47 DESTIN O%inOnetO
PURCHSGAGT $22,SOO.00
26. CON11lAcnNGIORDERlNG OFFICER SIGNATURE 27. DATE SIGNED
LAVANCE o11141200S N1A
30. SHIP TO (INCLUDE ON StuPPING LABEL) 31. ISSUING OFFICE (DO NOT SHIP OR Bill. TO nus ADDRESS)
OBLlG-200S-9902S-0-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUIsmON BRANCH, ROOM G-312-3
4700 SlLVER HILL ROAD 4700 SlLVER HILL ROAD
Attn: M S MORGAN
SUITLAND, MD 20746 SUITLAND MD 20746

Phone:
FORM CD-404-EF 109-911 I. ORDER NUMBER
U.S. DBPAR'DlE1lT OF CClNIIERCB SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-599025
lCOII'rIIIlIlfnOB BBBBto)

PAGE
32. SUPPLIER 33. ISSUING OI'I'ICB 5. ORDER DAlE lB. OATH PRINTI!D
:2 OF 2
HUBERT DOBSON 1 BUREAU OF TIlE CENSUS 01/1412005 I 02/1012005
34. 35. 36. 37. 3B. 39. 40. 41.
UNB MOL QTY QTY FINAL PUll. ACCOlJNTJNG CLASSIF1CATION DIST" AMOUNT
ITEM RECVD
I 1 1 04 0200000-000 21 10-02-07-000 11-04-0009-00-00-00-00 25-20-04-00 00000o 100% 22.500.00

42. 43. 44. 45. 46. SHIP TO ADDRI!SS 42. 43. 44. 45. 46. SHIP TO ADDRESS
UNB MDL QTY RECHlVlNG (lNCLUD1! IU!J'J!JlENCE ORDER. NO. UNB MDL QTY Rl!Cl!JVJNG (lNQ.UOI! IlI!I'ERENCIl ORDER NO.
ITEM OFFICE COOl! ON SHIPI'ING LABEL) ITI!M OPI'ICB CODE ON SHIPPING LABEL)

47. 4B. 49. SO.

UNI! REQUlSmON NUMBER REQUISITION DESCRIPTION REQUlSTnONER INFORMATION
ITEM

39667-0 Broadcast Media Production - Includes script writing. prodacing. PH DUNTON (W)301-763-2806 Loc: FB 3 Rm: 2705

~i 51. TYPE SHIPMENT 52. RECEIPT SIGNAnJRE & TI11.E 53. RECEIPT DAlE

ACCEPTANCE: I CEJl11fY lHAT ARTIa.ES AND/OR SER.VICES ANNOTATED 54. ACCEPTANCI! S1GNAnJRE & TI11.E 55. ACCEPTANCE DAlE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLVING
W1TIi nus ORDER, AS OF ntE DAlE SHOWN.