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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
RATES:
8 HOUR DAY - $450.00
OVER 8 HRS - 84.38 PER HOUR
1/2 DAY (6 HOURS OR LESS) MINIMUM CHARGE - $337.50
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
26. CONTRACI1NGIORDERING OmCER SIGNATURE 27. DATE SIGNED r2a. PROMPT PAYMENT
.",,-.<:."'1:::::/"':;:::'1.'
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)
".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.