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FORM CP-404-EF (09-97)

U. S. DEPARTMENT OF COHHERCE SUPPLY, EQUIPMENT OR SERVICE ORDER Use this Order


Number for
..... I. ORDER NUMBER

43·YA-BC-140161
1-------,------JI.-------.-----...----.,...----.....,---------!inquirieslO
2. CONTRACT ORDERED AGAINST 3. PURCHASE 4. DEUVERY 5. ORDER DATE . SOURCE the
PAGE I OF 2 Specific Provisions Apply ORDER ORDER Pro<Uremeol 7. SUB S. DATE PRINTED
NONE X 10/1212000 OffICe. NONE 02/1012005
9. SUPPUER'S ADDRESS 35549 This REference Order 12. BIIllNG ADDRESS
No. REFERENCE ORDER NO.: OBLlG-2oo1-40161-Q-Q
IDUIl appear oil olI
inYoices &JId BUREAU OF TIlE CENSUS
pod<oges. Freighl FINANCE DMSION
ebarge ""er SI 00
requires a BiD of ROOM 3546, BUILDING 3
WiDg.
WASHINGTON DC 20233-4400

14. /5. 16. 17. 18. 19. 20.


UNE DESCRIP110N DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

RENEWAl.. OF PHOTOGRAPIDC SERVICES FOR TIm BUREAU 0913012001 JB 15,000.0000 15,000.00


OF TIm CENSUS.

PERIOD OF PERFORMANCE: DATE OF AWARD TIlROUGH


SEPTEMBER 30, 2001

PREVIOUS PO #43YABC020149

U.s. DEPARTMENI' OF COMMERCE- n:RMS AND CONDmONS


The foUowing _ &JId conditioas as "",u as any on atladled 51-., apply wIoeIllhis ~ is used as a pun:hase order. If this ~ is used as a delivery order, il is subjecl to the t...... a.ud condilioas of
the COJllract reCerenced in BIod< tI2 of the order. 52.252-2 CIa...es incorporated by lldoIeace (Apr 84). This contract incorporates tbe IOIIowins ....... by refernx:o, with the same forte &JId elfcd as • tbcy were
giYa> in fuB text. UPOIl request. the Conrnaing Off_ will moke ruu text. available.

NOTE: FULL TEXT Q..AUSES ARE AVAlLABLE AT IJITPjIWWW.ARNET.GOVIFARIFARQUERYFRAME.HTML


NOTE 2 INVOICE MUST COINQDE WITH UNE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBMITIlNG INVOICES ARE ATTAOIED
NOTE 4 CONTRACTOR SHAlL AlLOW TIlE GOVT 30 DAYS FROM DEUVERY TO INSPECT & ACCEPT
NOTES CONTRACTOR AGREES TO INVOICE NO LESS THAN 30 DAYS AFTER DEUVERY
NOTE 6 S2.24<>-2INSPECTON OF SUPPUES - FIXED PRICE

21. ORDERED BY (NAME AND TITLE) 22. FOR INQUIRIES CAlL 23. FOB POINT 24. DISCOUNT TERMS
LA VANCE 301-763-1840 DESTIN 0"10 in 0 net 30
SUPVY PURCHSG AGT $15,000.00
26. CONTRACTlNGIORDERlNG omCER SIGNAnJRE 27. DATE SIGNED 28. PROMPT PAYMENT 29. SHIP VIA
L A CATTERTON 10/1212000 Y NlA
30. SHIP TO (INCLUDE ON SIUPPING LABEL) 31. ISSUING OmCE (DO NOT SHIP OR BILL TO TIllS ADDRESS)
REFERENCE ORDER NO.:OBLlG-2oo1-40161-0-0
BOC MAIN RECEMNG DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUlSmON BRANCH, ROOM G-3 12-3
4700 Sll...VERHlLLROAD 4700 Sll...VER HILL ROAD
Attn: E M CAGLE
SUlUAND, MD 20746 SUITLAND MD 20746
Phone:
FORI! CD-404-EF (09-97) I. ORDER NUMBER
11. S. DEI'ARTHEIlT OF CCHoIERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER
(CONTINUATION SHEET' 43-YA·BC-140161

PAGE

34.
llNE
2

3S.
MDL
OF

36.
QTY
n.SlJPPUER
MICHELLE FRANKFURTER
37.
QTY
38.
FINAL
I n ISSUING omCE
BUREAU OF THE CENSUS
39.
S.ORDEllDATE
10/12/2000
40.
18. DATE PRINrED
I 02/1012005
41.
FlJIL ACCOlJNI1NG CLASSIFICATION DIST% AMOUNT
ITEM RECVD
0402OOOOO-OOO 21 10-02-07-000 11-04-0009-00-00-00-00 25-20-04-00 00000o 100% 15.000.00

.u 43. 44. 45. 46. SJDP TO ADDRESS 42. 43. 44. 45. 46. SJDP TO ADDRESS
UNE MDL QTY RECEIVlNG (INCLUDE REFERENCE OWER NO. LINE MDL QTY RECEIVING (INCLUDE ItEFERENCE ORDER NO.
ITEM OFFICE CODE ON SHIl'PtNG LABEL) ITEM OFFlCEOODE ON SlnPPING LABEL)

47. 48. 49. 50.


UNE REQUISITION NUMBER REQlnSITION DESCIUFllON REQlnSlTIONER INFORMATION
nDf

20270-0 Phlogr.lphic Services (FY 01) PH DUNTON (W)301-763-2806 Loc: FB 3 Rm: 2705

52. RECEIPT SIGNATURE 8<. TITLE 53. RECEIPT DATE

ACCEPTANCE: I CERTIFY THAT ARTICLESAND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATURE 8<. nTLE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WITH nus ORDER, AS OF TIlE DATE SHOWN.

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