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FOI\li CD-404-EF (09-971 1 ~ 1.0RDERNUMBER


u.s. DEPAR'DlEIlT OF CXHlEIlCIl SUPPLY, EQUIPMENT OR SERVICE ORDER ~=~ 43-YA-BC-486137
r------T2~. CO==HTRA==:-:CT~0:':RD~ERED::-::-AG""AIN---""ST--Y-3.-PURCIfAS£-----T4-. -DElJVI!Il---yr5~. O An;=-T.~:-:SO=URCE==------1~
....RDER==-=D.... . '"
PAGI! I OF 2 Spec:ificPnMoioasApply ORDER. ORDER ProaIIemcDt 7. SUB II. DATEPRIN11!D
NONE X 01l08nOO4 0IIke. NONE I 02l10n005
9. SUPPUER'S ADDRESS 64017 110. 1099 TAX: MJSC This Rehococe Q!der 12. BILUNG ADDRESS
~ REFEKIlHCJ!ORDERNO.:
ALIED VAN DOREN
DBA APOGEE COMMUNICATIONS
III. EMPLOYERL .
.-
No.
_oppetIODaI
imlDices llIlII BUREAU OF TIm CENSUS
OBUG-2004-86137-O-O

900 MC DANIEL COURT 13. CONrACT: bLf pocbges. FreiPt


charse over $100
FINANCE DMSION
HERNDON VA 20170 ALIm VAN DOREN CAGLE ,.;res. BiD or ROOM 3546, BunDlNG 3
130. TEL: 703 411·1622 LadiDa-
WASHINGTON DC 20233-4400
13b. FAX: 703 43&-3392

14. u. 16. 17. '1. 19. 20.


UNB DESCRIPTION DEUVERY QUAJmTY UNIT UHlTPRlCI! AMOUNr
fI1!M DAn; ISSUE

I CONTRACTOR TO PROVIDE BROADCAST MEDIA . 1213112004 18 31,400.0000 31,400.00


PRODUcnON SERVICES INCLUDING SCRIPTWRITING,
PRODUCING, DIRECTING, LANGUAGE TRANSLATIONS,
RESEARCHING AND PRODUCTION ASSISTANCE FOR
CREATING BROADCAST AND IN-HOUSE VIDEO AND RADIO
PROGRAMS. INCLUDES 01HER. DIRECT COSTS.

PERIOD OF PERFORMANCE: DATA OF AWARD TIlROUGH


DECEMBER 31, 2004

CENSUS TASK MANAGER:


TOM EDWARDS
301-763-2184

ALTERNATE TASK MANAGER:


PAT DUNTON
301-763~2806

u.s. DEPARTMENT 0' COMMERCE - TERMS AND CONDITIONS


The following _ ODd COIldilioos .. well .. aoy OR aUM:bed s!=ls, apply ....... this document ;, ......... pun;IIase order. Iflhis cIoaomenI ;, used ... delivery order. it ;, S1Ili;<d 10 !he 1em1S .... conditions or
..... ~ refm:nced in BIod< 12 ofl'" order. 52.252-2 CIa incorporaIed by IleI'emICO (Apr 84). This conlnCt inl:ooponces ... CoDowing clauses by reference. with .... same rorce ODd elRcIas dlhey were
en- in fuIIl<:I<L Upon r....-, !he ConIrotIioI 0IIicer will e I\dI !at naiIobIe.

NOTE: FULL TEXTCL\USES ARE AVAlLABLEATIITIP-JIWWW.ARNET.GOVIFARlFARQUEJl.YFIlAME.HTML


N011!2 INVOICE MUST COINCIDI! WITII UNB ITEMS ON PURCHASE ORDER
NOTE 3 IHSTRUcnONS fO\tSUBMITIlNG INVOICI!S ARE ATTACHED
N011!4 COmllACTOR SHALL AUOW THE GOVT 30 DAYS FROM DEUVERY TO INSPECT '" ACCEPT
NOTES CONTRACTOR AGREES TO INVOICl! NO LI!SS mAN 30 DAYS AFTER. DEUVERY
NOTE 6 52.246-2 INSPECTON OF SUPPLIES - FIXED PRlCI!

21. ORDERED BY (NAME AND 'Il1LE) 22. FOR JHQlJIIUES CALL 23. FOB POINT 24 DISCOUNr TERMS ~
LAVANCE 301-763-1840 DESTIN· 0% in 0 net 30
SUPVY PURCHSG AGT $31,400.00
26. COmllACJ1NGIORDERlHG OmCER SIGNATURE 27. DATE SIGNED 121. PROMPT PAYMIlNT -=----------1
29. SHIP VIA
LAVANCE
1 0110812004 I Y NIA
30. SHIP TO (INCLUDE ON SHIPPING UJlEL) 31. ISSUING omCE (DO NOT SHIP OR BllL TO TInS ADDRESS)
OBLlG-2004-86137-0-O
REFERENCE ORDER NO.: _
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUISmON BRANCH, ROOM G-312-3
4700 SaVER IDLL ROAD 4700 SILVER HILL ROAD
AlID: P H DUNTON
SunLAND, MD 20746 SUITLAND MD 20746

Phone:
FOIlM .CD-404-EF 109-91) I. ORDI!Il NUMIlI!R
U.8. 'DEPAR~ OF COMMEIlCB
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-486137
(~OII 8JD:UI

32. SUPPUI!Il 133. ISSUING OFFICI! S. ORDI!Il DATI! 18. DATI! PRII'lTJ!D
PAGE 2 OF 2
ALIED VAN DOREN BUREAU OF TIlE CENSUS 0110812004 0211012005
34. 3S. 36. 37.. 38. 39. 40. 41.
LJNI! MOL QTY QTY fINAL FUU. ACCOUNTlNG CLASSIFICATION DIST% AMOUNT
Il1!M RECVD
1 1 1 04 0200000-000 21 10-02-07-000 11-04-0009-00-00-00-0o 25-2()..()4..()0 000000 100% 31.400.00

42. 43. 44. 4S. 46. SJDP TO ADDIUlSS 42. 43. 44. 4S. 46. SJDP TO ADDRESS
UNJ! MOL QTY RI!CI!IVJNO (lNC1UDI! RIlPI!IlI!NCIl OltDEIt NO. UNJ! MIlL QTY IIECBIVDIG (INaAlD1! REFBRI!NCI! ORDJ!R NO.
Il1!M OFFICI! COOl! ON SHIPPINO LABI!L) ITI!M OFFICI! CODJ! ON SHIPPING LABEL)

47. 48. 49. so.


UNE REQUISITION NUMBER REQUISITION DESCIUPTJON REQlnSITIONER INFORMATION
ITEM

35572-0 Renewal of PO 11·4)- YABC-3733S0 PH DUNfON (W)301-763-2806 Loc: FB 3 Rm: 2705

_SI_._TYP_Il_S_HIPMENT_· -+_S2._RE_CEPT
_ _S1_G_N_A_TIlRE
_ _&:_TI11.E -1_S3_._RE_CElPT
__ D_ATE -1
ACCEPTANCE: I CERTlFYTJlAT ARTICU!S AND/OR SJ!RVJCES ANNOTATED S4. ACCEPTANCE SIGNAnJRE &: TI11.E 55. ACCEPTANCE DATI!
ABOVI! HAVE BEEN RECEIVED,INSPECTED AND ACCBPTED AS COMPI..YING
WITH TJUS ORDER, AS OF TJJE DATI! SHOWN.

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