FOf\M CD-404-EF (09-911

u.s. DEPARimNT OF COMH&RCE

I SUPPLY, EQUIPMENT OR SERVICE ORDER u•• th}r,der 1.0RDERNUMBER
Number for 43-YA-BC-37347I
J-------.----.. . . -------r----,-----:--T-'-----r~=~----_;inquirieslO
2. CONTRACf ORDERED AGAINST3. PURCHASE 4. DE1.IVERY S. ORDER DATE 6. SOURCE tho
PAGE I OF 2 Specific Provisions Apply ORDER ORDER Procur.......1 7. SUB 18. DATE PRINTED
NONE X 01/0312003 0fIic0. NONE I 02/1012005
9. SUPPUER.'S ADDRESS 61792 110. 1099 TAX: MISC This Roforonc:o Order 12. BIIJJNG ADDRESS
'~ REFERENCE ORDER NO.: OBLIG-2003-73471-0-o
111.I!MPLOYERLD.~
No.
VENTANA PRODUCTIONS INC must appear on aU
1825 K ST NW NO 501 invoinos and BUREAU OF THE CENSUS
13. COl/TACf: lJJf paebs"· freight FINANCE DIVISION
WASJllNGTON DC 20006 RICHARD FEATIIEB chsr~.over.$100 ROOM 3546 BUILDING 3
requires I Bill or '
I3L TEL: 2027.5-5112
LadiJ>l.
WASHINGTON DC 20233-4400
I3b. FAX: NONE

K I~ 16. 17. lB. 19. 20.

UNE DESCRIPTION DEIlVERY QUANI1TY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

I CONTRACTOR TO PERFORMANCE FIELD PRODUCTION 12/3112003 m 3,400.0000 3,400.00

SERVICES TO INCLUDE THE DIRECTING, PRODUCING AND
INDIVIDUAL SERVICES REQUIRED FOR PRODUCTION OF
BROADCAST AND IN-HOUSE VIDEO, RADIO AND
PHOTOGRAPHY SERVICES. 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. DEPAllnn:l'(f OF COMMERCE - TERMS AND CONDmONS

Tho foUowing lerms and conditions IS well .. any on attachod shoots, apply whoa this documenl is used IS a purclwo order. If this d o _ is used IS a doJivery order. it is 5ubjOCllo tho terms and conditio.. of
tho contract "'foroncod in Block'2 of tho order. S2.2S2-2 Claus.. incorporated by Ref","""" (Apr 84). This contract incorporales the following cia.... by rofer=. with tho same force and clrOClIS ifthcy wore
given in IUD I.... Upon rcql105l, tho Contracting Officer will mak. IUD lext availablc.

NOTE: fUlL TEXT CLAUSES ARE AVAILABLE AT HTI1.:/IWWW.AR.NET.GOVIFARIFARQUERYFRAME.HTML

NOTE 2 INVOICE MUST COINCIDE WITIi UNE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS fOR SUBMITTING INVOICES ARE ATIACHED
NOTE 4 CONTRACfOR SHALL ALLOW THE GOVT 30 DAYS fROM DEUVERY TO INSPECf &: ACCEPT
NOTES CONTRACfOR AGREES TO INVOICE NO U:SS THAN 30 DAYS AfTER DEUVERY
NOTE 6 S224£>.2INSPECfON Of SUPPUES • fIXED PRICE

21. ORDERED BY (NAME AND TITLE) 22. FOR INQIJIRJES CALL 23. FOB POINT 24. DISCOUNT TERMS
PAMILLER 301-763-3547 DESTIN 0010 in 0 net 30
PURCHSGAGT $3,400.00
26. CONTRACTlNGIORDERlNG OFFICER SIGNATURE 27. DATE SIGNED 128. PROMPT PAYMENT 129. SHIP VIA
LA VANCE
1 01/0312003 I Y N/A
30. SHIP TO (INCLUDE ON SHIPPING LABEL) 31. ISSUING OFFICE (DO NOT SHIP OR Bill TO THIS ADDRESS)
OBLlG-2003-73471-0-0
REfERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM I203 A, FOB 4 ACQUlSmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Attn: S B MASSIE
SUITLAND, MD 20746 SUIlLAND MD 20746
Phone:
FORI! CD-tOt-IF (09-97) I. ORDER NUMBER
U. S. DEPARTMENT OF CCllllERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-373471
ICONTnrtIM'IOIl SHEET)

132. SUPPUER 33. ISSUING OFPICE 5. ORDER DATE 18. DATE PRINTED
PAGE 2 Of 2
I VENTANA PRODUCTIONS INC BUREAU OF THE CENSUS 0110312003 I 0211012005
34. 35. 36. 37. 38. 39. 40. 41.
LINE MOL QTY QTY PINAL PULL ACCOUNTING a.ASSIFICATION D1ST% AMOUNT
ITEM RBCVD
046210000-000 20 04·03-02-000 11-04-0009-00-00-00-0025-20-04-00 000000 100% 3.400.00

42. 43. 44. 45. 46. SIUP TO ADDRESS 42. 43. 44. 45. 46. SIUP TO ADDRESS
LINE MOL QTY RBCEMNG (lNCLUD£ IlEFI!RBNCE ORDER NO. LI1'II! MOL QTY RBCElVING (INCLUDE REFERENCE ORDER NO.
ITEM OFFICE COD!! ON SlUPPING LABEL) 1TJ!M OFPICECODE ON SlUPPING LABEL)

47. 48. 49. 50.

UNE REQUISITION NUMBER REQUISITION DESCRIPTION REQUISITIONER INfORMATION
ITEM

31099-0 Renewal of PON 43-YABC-I44137 S B MASSIE (W)301-763-3012 Loc: FB 3 Rm: 2720

52. RECEIPT SIGNATIJRE &: TIUE 53. RECEIPT DATE

ACCEPTANCE: I CERTIFY llIAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATIJRE a: TIUE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RBCEIVEO,INSPECTED AND ACCEPTED AS COMPLYlNG
W1TIJ TInS ORDER. AS OF TIlE DATE SHOWN.