-,

FOIU! CD-40f-EF (09-91)

U.S. DEPARTMENT OF COMMERCE
I SUPPLY, EQUWMENT OR SERVICE ORDER ~=~er
~ I. ORDER NUMBER
43-YA-BC-372369
t------"""T-.....:--~------..,.----,....---,._ _:_:_::'""r.~==_----__1inquiries to
2. CONlRACT ORDERED AGAINST 3. PURCHASE 4. DEUVERY 5. ORDER DATE 6. SOURCE the
PAGE I OF 2 Specific Provisions Apply ORDER ORDER Proourement 7. SUB 18. DATE PRINTED
NONE X 1lI0612002 Oflice. NONE I 0211012005
9. SUPPUER'S ADDRESS 38897 :0. 1099 TAX: MJSC This ReferCllCeQ!de< 12. BILLING ADDRESS
~ REFERENCE ORDER NO.: OBLIG-2oo3-72369-0.{)

~
No.
HOME FRONT COMMUNICAnONS LLC II. EMPLOYER I.D. must appear on all
1919 M ST NW STE 240 1 invoices and BUREAU OF TIlE CENSUS
13. CONTACT: OJ-{- packages. Freight
charge over SIOO
FINANCE DIVISION
WASHINGTON DC 20036 PAUL FRICK requires a Bill of ROOM 3546, BUILDING 3
l3a. TEL: 102-544-8480 Lading.
WASHINGTON DC 20233-4400
I3b. FAX: 2ln-544-644I

14. IS. 16. 17. 18. 19. 20.

LINE DESCRIPTION DEUVERY QUANITTY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

I CONTRACTOR TO PROVIDE BROADCAST DISTRIBUTION 1lI01/2002 JB 15,000.0000 15,000.00

SERVICES TO INCLUDE TIlE HARD COpy (TAPE AND DISC),
AND SATELLITE DISTRIBUTION OF BROADCAST VIDEO,
RADIO AND PHOTOGRAPHY PROGRAMS. INCLUDES OTHER
DIRECT COSTS.

PERIOD OF PERFORMANCE: DATE OF AWARD THROUGH

DECEMBER 31, 2003.

CENSUS TASK MANAGER: MIKE MORGAN 301-763-3045

ALTERNATE TASK MANAGER: TOM WEBSTER 301-763-3053

u.s. DEPARTMENT OF COMMERCE - TDlMS AND CONDmONS

The fullowing terms and conditions as well as any on allOched _ . apply when lIIi1 do<u~ is used as a purchase order. If this documenl is used as a delivery order. it is .ubje<lto the terms and conditions of
the contract referenced in Block 12 ofthe order. 52.252·2 Clauses inCorporated by Referalce (Apr 84). This contract incorporates the fullowing clauses by reference, with the ...... force and elI'ect as if they were
given in ruu 1Cll1. Upon request, the ContractiDg Olficer will make ruu text available.

NOTE: FUlL TEXT CLAUSES ARE AVAILABL£ AT HTll':IIWWW.ARNET.GOVIFARlFARQUERYFRAME.HTML

NOTE 2 INVOICE MUS,. COINCIDE wrrn LINE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBMITTING INVOICES ARE ATTACHED
NOTE 4 CONTRACTOR SHAll. ALLOW THE GOVT 30 DAYS FROM DEUVERY TO INSPECT & ACCEPT
NOTE 5 CONlRACTOR AGREES TO INVOICE NO LESS THAN 30 DAYS AFTER DELIVERY
NOTE 6 52.246-2 INSPECTON OF SUPPUES • FIXED PRICE

21. ORDERED BY (NAME AND TITL£) 22. FOR INQUIRIES CAlL 23. FOB POINT 24. DISCOUNT TERMS
PAMlLLER 301-763-3547 DESTIN 0% in 0 net 30
PURCHSGAGT $15,000.00
16. CONTRACTING/ORDERING OFFICER SIGNATURE 17. DATE SIGNED 128. PROMPT PAYMENT 129. SHIP VIA
LA VANCE
1 11I0612002 I Y N/A
30. SHIP TO (INCLUDE ON smpPING LABEL) 31. ISSUING OFFICE (DO NOT smp OR BII.L TO TIllS ADDRESS)
REFERENCE ORDER NO.: OBLIG-2003-72369-0-0
BOC MAIN RECEMNG DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUISITION BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Attn: S B MASSIE
SUITLAND, MD20746 SUITLAND MD 20746

Phone:
 \.

FORM CD-404~EF (09-971 I. ORDER NUMBER

u. ~. DEPARTHEN'l' OF COHHERCE SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-372369
(COIl7IIIUATION SUET)

32. SUPPUER 33. ISSUING omCE 5. ORDER DATE lB. DATE PRINTED
PAGE 2 OF 2
1 HOME FRONT COMMUNICATIONS LLC BUREAU OF THE CENSUS 1110612002 I 02/1012005
34. 35. 36. 37. 38. 39. 40. 41.
UNE MOL QTY QTY PINAL FULL ACCOUlmNG a..ASSIFICATION D1ST% AMOUNT
ITEM RECVD

04 6210000-000 20 04-03-02-000 11-04-0009-00-00-00-00 25-20-04-00 000000 100% 15.000.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
UNE MOL QTY RECEIVING (lNa.uDE REFERENCE ORDER NO. LINE MOL QTY RECEIVING (INCLUDE REJ'BRENCE ORDER NO.
ITI!M DmCECODE ON S1IlPPING LABEL) ITI!M OmCl!CODE ON SHIPPING UBEL)

47. 4B. 49. 50.

UNE REQUISITION NUMBER REQUISITION DESCRIPTION REQUlsmONER INFORMATION
ITEM

30641-0 'Renewal ofPO #43-YABC-2S9S8S S B MASSIE (W)301-763-3012 Loc: FB 3 Rm: 2720

i.,·.: .· ·.:. · · .···~II!II!iiil~!i:I!I!il 52. RECEIPT SIGNATIJRE It TITLE 53. RECEIPT DATE
·!il ;il i(1.1.1. 51. TYPE SHIPMENT

==~--------I------------------+--------1
ACCEPTANCE: I CERTIFY TIlAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATURE It TITLE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WIllI TIllS ORDER, AS OF THI! DATE SHOWN.