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IFORM CD-"04-EF (09-97)

oJ.S. DEPARTMENT OF COHHERCE


I'~
SUPPLY, EQUIPMENT OR SERVICE ORDER
u.. .mstder
Number for
I. ORDER NUMBER
43-YA-BC-488267
!-------r----.l-------.-----...----.------...-=
2. CONTRACT ORDERED AGAINST 3. PUROlASE 4. DEUVERY S. ORDER DATE. SOURCE
------!iIlquirieslo
the
PAGE 1 OF 3 Specific Provisions Apply ORDER ORDER Procuremem 7. SUB 18. DATE PRINTED
NONE X 03/1012004 Office. NONE I 0211012005
9. SUPPLIER'S ADDRESS 55885 :0. 1099 TAX: NOra This Rderence Order 12. BILUNG ADDRESS

~
PETREE MEDIA No. ~ REFERENCEORDERNO.: OBLlG-2004-88267-0-o
11. EMPLOYER I.D. must oppear on aD
518GSTNE \
• invoices and BUREAU OF TIlE CENSUS
WASHINGTON DC 20002
13. CONTACT: bJ.-f pa cka8es. F r .
c:lJaJBeaver $100
FINANCE DMSION
COREY PETREE requires a Bm of ROOM 3546, BUILDING 3
IfL TEL: 102-486-4919 Ladillg.
WASHINGTON DC 20233-4400
I3b. FAX: NONE

I~ I~ 16. 17. 18. 19. 20.


UNE DESCRIPTION DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

1 CONTRACTOR TO PROVIDE DIGITAL EDTllNG & GRAPHIC 1213112004 JB 7,500.0000 7,500.00


DESIGN. SERVICES INCLUDE TIlE CREATION OF VIDEO,
RADIO, AND PHOTOGRAPHY SOURCE ELEMENTS FOR US IN
BRADCAST AND WEB-BASED PRODUCTS. PRICE INCLUDE
OTIlER DIRECT COSTS.

TIlE CONTRACTOR SHALL NOT MAKE EXPENDITURES OR


INCUR OBLIGATIONS IN TIlE PERFORMANCE OF THIS
PURCHASE ORDER WIllCH EXCEEDS TIlE CEILING PRICE
SPECIFIED HEREIN, EXCEPT AT TIlE CONTRACTOR'S OWN
RISK.

PERIOD OF PERFORMANCE: DATE OF AWARD THROUGH


DECEMBER 31, 2004

CENSUS TASK MANAGER: MIKE MORGAN 301·763-3045


ALTERNATE MANAGER: TOM WEBSTER 301-763-3053

RATES:
8 HOUR DAY - $450.00
OVER 8 HRS - 84.38 PER HOUR
1/2 DAY (6 HOURS OR LESS) MINIMUM CHARGE - $337.50

U.S. DEPARTMENT OF COMMERCE - TERMS AND CONDmONS


The following terms and conditions as weD as any on ateached sheets, apply when this document is used as a purchase order. If this docwnent is used as a delivery order, it is subjecllo the terms and conditions of
the coDlrllCl refereDGed ill Block 112 of the order. S2.252-2 Cia..... iIlcorporaled by Reference (Apr 84). This coDlrllCl iIlcorporates the following clauses by reference, with the same force and effect as if they were
given in run tel<t. Upon request, the Contra<ting Officer will make ruUlell1avaiiable.

NOTE: FUll TEXT CLAUSES ARE AVAILABLE AT 1fITP:/IWWW.ARNET.GOVIFARIFARQUERYFRAME.H1ML


NOTE 2 INVOICE MUST COINCIDE Wlrn U~ ITEMS ON PUROlASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBMIT11NG INVOICES ARE ATTACHED
NOTE 4 CONTRACTOR SHAlL ALLOW 1HE GOVT 30 DAYS FROM DEUVERY TO INSPECT &: ACCEPT
NOTES CONTRACTOR AGREES TO INVOICE NO LESS THAN 30 DAYS AFTER DEUVERY
NOTE 6 S2.246-2 INSPECTON OF SUPPUES - AXED PRICE

21. ORDERED BY (NAME AND TITI.E) 22. FOR INQUlIUES CAU. 23. FOB POINT 24. DISCOUNT TERMS
PAMILLER 301-763-3547 DESTIN 0% inO net 30
PURCHSGAGT $7,500.00
26. CONTRACTtNGIORDERING OFFICER SIGNATURE 27. DATE SIGNED 128. PROMPT PAYMENT 129. SHIP VIA
LA VANCE
1 03/10/2004 I Y N/A
30. SHIP TO (INCLUDE ON SIfiPPING LABEL) 31. ISSUING OFFICE (DO NOT SHJP OR BILL TO TIllS ADDRESS)
OBLlG-2004-88267-0-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING ocx::K BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUISrnON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Attn: S B MASSIE
SUITLAND, MD 20746 SUITLAND MD 20746

Phone;
~~~ ~~;:~:(~:-~1lCE I
1. ORDER NUMBER
SUPPLY, EQUIPMENT OR SERVICE ORDER uaetms!d..
NlIIIlberfor 43-YA-BC-488267
t-------,----....J.------"'T'"---~T"""---T"""----""T' ----__1iaqunes 10
2. CONTRACT ORDBRI!D AGAINST 3. PURCHASE' 4. DEUVERY S. ORDER DA1l! ~. SOURCE tho
PAGE 2 OF 3 Specific Provisio.. Apply ORDER ORDIlR 7. SUB la. DATE PRJNIED
NONE x 03/1012004 0IIice. NONE I 0211012005
9. SUPPUI!R'S ADDRESS SS88S :10. 1099 TAX: _ ThisRder~ 12.BllJJNGADDRESS
No. ~ REFIlRENCEORDERNO.: OBUG·2004-88267-0-O
PETREE MEDIA 11. EMPLOYER I.D.•: IIIUSI appear on oil
518 GSTNE 1L...- h Ll:::;:::;:l'"l;::;l( .--In invoices and
...;= BUREAU OF THE CENSUS
13. CONTACT: "". ~ v'"" pockaaes. Freisht FINANCE DMSION
WASHINGTON DC 20002 charp over SI00
COREYI'ETIlEE requires I Bill or ROOM 3546, BUILDING 3
lAding.
I3L TEL: :10:1-486-4919
WASHINGTON DC 20233-4400
I3b. FAX: NONE

14. IS. 16. 17. la. 19. 20.


UNE DESCRIPTION DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITI!M DATE ISSUE

I RATES ARE VAUD FOR THE PERIOD OCTOBER 1,2003 1213112004


THROUGH SEPTEMBER 30, 2004.

U.S. DEPARTMENT OF COMMERCE - TERMS AND CONDmONS


The following lerms and conditions IS weD IS Iny on lltached - . , Ipply when this dooumeIlI is used IS I purchase order. If this doewnenl is used IS. deliYel1 order, it is subject 10 the terms and conditions of
the contraCl referenced in BIocl< 12 orthe order. 52.252·2 Clauses incorporated by Rderence (Apr a4). This contract incorporales the foRowing clauses by rderence, with the ssme force and effect IS if they were
given in fult lext UpOn reques~ tho Conuoeting Officer wiD make fuD 10ld lvailable.

21. ORDERED BY (NAME AND TITLE)


PAMILLER
PURCHSGAGT
tt>mmQ~=
301-763-3547 D.""'~m ,.~~
DESTIN' 0% in 0 net 30 .1,,; .:::.:.:::.\
....;.:
- --------1
$7,500.00

26. CONTRACI1NGIORDERING OmCER SIGNATURE 27. DATE SIGNED r2a. PROMPT PAYMENT
.",,-.<:."'1:::::/"':;:::'1.'

129. SHIP VIA


LAVANCE 1 03/1012004 Y N/A
30. SHIP TO (INCLUDE ON SHIPPING I.ABEL) 31. ISSUING OmCE (DO NOT SHIP OR BUL TO TIllS ADDRESS)
OBUG-2004-88267-O-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING IXXK BUREAU OF THE 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 SUTI1..AND MD 20746

Phone:
FOIlM CD-404-EF (09-971 I. ORDER NUMBER
U. S. DEPARTMENT OF COHMERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-488267
(CONTINUATION SUET)

132. SUPPUER 33. ISSUING OFFICE ~. ORDER DATE 18. DATE PRlNl1!D
PAGE 3 OF
I PETREE MEDIA 1 BUREAU OF TIlE CENSUS 03/1012004 I 0211012005
34. 3~. 36. 37. 38. 39. 40. 41.
UNE MOL QTY QTY FINAL fULL ACCOUNTING CLASSIFICATION DIS1% AMOUNT
ITEM RECVD
04 0200000-000 21 10-02-07-000 11-04-0009-00-00-00·0025-20-04-00 000000 100% 7.500.00

41. 43. 44. 4~. 46. SHIP TO ADDRESS 42. 43. 44. 4~. 46. SHIP TO ADDRESS
UNE MOL QTY RECElVING (INCLUDE REFERENCE ORDER NO. LINE MOL QTY RECEIVING (INCLUDE REFERENCS ORDER NO.
ITEM OFFICECODB ON SHIPPING LABEL) ITEM OFFlCSCODB ON SHIPPING LABEL)

47. 48. 49. 50.


UNE REQIJISlllON NUMBER REQUISITION DESCRIYTION REQUISITIONER INFORMATION
ITEM

35996-0 ·Renewal of PO #43-YABC-372364 S B MASSIE (W)301-763-3012 Lac: FB 3 Rm: 2720

".I!III!!i!illl'jil![i::~I:11151.
52. RECEIPT SIGNA1lJRE & TITLE 53. RECEIPT DATE
TYPE SHIPMENT

ACCEPTANCE: I CERllFY THAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNA1lJRE & TITLE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED. INSPECTED AND ACCEPTED AS COMPLYING
WITII nus ORDER, AS OF TIlE DATE SHOWN.

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