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FO~ CD-404-EF (09-97)

u.s. DEPARTMENT OF COHHERCE


I SUPPLY, EQUIPMENT OR SERVICE ORDER ule~ Namberlbr
1.0RDERNUMBER
43.YA-BC.140459
t------'-T---. . . . .- -----..,...----..- - -.. ----.,I~L=-,...--------linquirieslo

2. CONlRACf ORDERED AGAINST 3. PUROlASE 4. DEUVERY S. ORDER DATE 1". SOURCE Ibe
PAGE I OF 2 Specific Provisioos Apply ORDER ORDER Procuremenl 7. SUB lB. DATE PRINTED
NONE X 10/1712000 Office. NONE I 0211012005
9. SUPPlJER'S ADDRESS 33309 10. 1099 TAX: MISC This Refer...,., Qrder 12. BDJ.JNG ADDRESS

~
No. . . . . . REFERENCEORDERNO.: OBUG-2001-40459-0-o
MEDIALINK.
NATIONAL PRESS Bun..oING 1 II. EMPWYERI.D.
.
lIIIISI"PPOI'on,n
inYoica and BUREAU OF TIlE CENSUS
52914111 STNW STE 1230 13. CONTAcr: b'-l pactaS'" F r .
charge over SI00
FINANCE DMSION
WASHINGTON DC 20045 MOI'llCAJENNINGS requires ,BiD or ROOM 3546, BUILDING 3
Lading.
13L lEl.: ZlI1-628-3IGO
WASHINGTON DC 20233-4400
I3b. FAX: 102-628-2377

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


LINE DESCRJPT10N DEUVl!RY QUANllTY UNIT UNJTPRlCl! AMOUNT
ITEM DATE ISSUB

1 RENEWAL OF VIDEO NEWS RELEASE DISTRIBUTION 0913012001 18 60,000.0000 60,000.00


SERVICES FOR TIlE BUREAU OF TIlE CENSUS FOR TIlE
PERIOD OCTOBER 1,2000 TIfROUGH SEPTEMBER 30,2001

U.S. DEPARTMENT OF COMMt:RCE - TERMS AND CONDmONS


The roUowina lerms and conditions as well .. any on 'llached sheets, Ipply when this document is used .. , purchase order. If this documenl is used as , delivery order, it is subject.o Ibe terms and conditions or
Ibe conlraet referenced in BIo<:k M2 orlbe order. S2.2S2-2 Caus.. inCOlpOrsled by Reference (Apr 84). This contract inoorporslesthe roUowins c1suses by reference, with the ..me force and effect .. iflhey were
given in IUU lext Upon request, Ibe Contract;"B Officer wiU make fuD text 'vsilable.

NOTE: FULL TEXT CLAUSES ARE AVAILABLE AT HTIl'"JIWWW.ARNET.GOVIFARlFARQUERYFRAME.HTML

NOTE 2 INVOICE MUST COINCIDE WITI1 LINE ITEMS ON PURCHASE ORDER

NOTE 3 INSn.UcnONS FOR SUBMlTI1NG fNVOiCES ARE ATTACHED

NOTE 4 CONlRACTOR SHALL ALLOW l1ffi GOVT 30 DAYS FROM DEUVERY TO INSPECf & ACCEPT

NOTES CONlRACfORAGREES TO fNVOiCE NO LESS 1lIAN 30 DAYS AftER DEUVERY

NOTE 6 52.240-2 INSPECfON OF SUPPUES - AXED PRICE

21. ORDERED BY (NAME AND TITLE) 22 FOR INQUIRIES CALL 23. FOB POINT

PAMILLER 301-763-3547 DESTIN


PURCHSGAGT $60,000.00
26. CONTRACTlNGIORDERING OmCER SIGNATURE 27. DATE SIGNED 2B. PROMPT PAYMENT /29. SffiP VIA

LACATIERTON 10/1712000 Y N/A


\ /
30. SInP TO (INCLUDE ON SHIPPING lABEL) 31. ISSUING OmCE (DO NOT SlnP OR BIU. TO TIllS ADDRESS)
REFERENCE ORDER NO.: OBUG-2001-40459-0-0
BOC MAIN RECENING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUISmON BRANCH, ROOM G-312-3
4700 SILVER IDLL ROAD 4700 SItVER HILL ROAD

AtID: E M CAGLE

SUITLAND, MD 20746 SUIUAND MD 20746

Phone:
"

FORM CD-404-EF 109-91) I. ORDER NUMBER.


• U.S. 'OEPARTMERT OF COHHERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-140459
(COHTIIIlJArIOH SIlBEr)

PAGE OF
32. SUPPLIER 33. ISSUING OFFICE 5. ORDER DATE la. DATE PRINTEI>
2 2
1 MEDIALINK 1 BUREAU OF TIlE CENSUS 10/1712000 I 0211012005
34. 35. 36. 31. 38. 39. 40. 41.
UNE MOL QTY QTY FINAL FULL ACCOUNTING CLASSIFICATION P1ST% AMOUNT
ITEM RECVD

04 6741000-000 20 04-03-08-000 11-04-0009-00-00-00-00 25-20-04-00 000000 100% 60.000.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
UNI! MOL QTY R.ECEIVING (lNCLUDB REF1lRI!NCI! ORDER NO. UNI! MOL QTY RECEIVING (INCLUDE JlE1ll!RENCE ORDER NO.
ITEM OFFICECODB ON SHIPPING LABEL) ITEM OFFICE COPE ON SHIPPING LABEL)

41. 48. 49. so.


UNE REQUISITION NUMBER REQUISITION DESCRIPTION REQUISITIONER INFORMATION
ITEM

19166-0 Video News Release Servo (FY 2001) PH DUNTON {W)301-763-2806 Loc: FB 3 Rm: 2705

::IIIIII::::llr_l'::lllllli!~::i::!:li.151.
52. RECEIPT SIGNATIJRE & TITLE 53. RECEIPT DATE
TYPESHlPMENT

ACCEPTANCE: 1CERTIFYTIfAT ARTICLES ANPIORSERVICES ANNOTATED 54. ACCEPTANCE SIGNATIJRE & TITLE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WIllI nus ORDER, AS OF TIlE DATE SHOWN.

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