Professional Documents
Culture Documents
DHS, FEMA and Dept. of State: Failure of Hurricane Relief Efforts: 01-08-2004 Order Number 43-YA-BC-486137
DHS, FEMA and Dept. of State: Failure of Hurricane Relief Efforts: 01-08-2004 Order Number 43-YA-BC-486137
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)
_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.