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FORM CD-404-EF (09-911

U.S. DEPAR'rHE1ft' OF CCHlBRCE


I SUPPLY, EQUIPMENT OR SERVICE ORDER ~=~er
~ 1.0RDERNUMBER
43-YA-BC-375431
1-------r-2-.co-NTRA--crJ....0-RD-ERED--AG-AIN--ST~-3.-Ptm-CHAS--E-r4-.
PAGE I OF 2 Speci& Provisla... Apply
D-EUVER-":"'Y"'T'"S-.ORD---ER-DA-TE-"'~.~S~O~URCI!~~----1::Uiriesto
ORDER ORDER Proourement 7. SUB
r
8. DATE PRINTED
NONE X 0310412003 0Ifice. NONE 02/1012005
9. SUPPUER'S ADDIUlSS S7109 :0. 1099 TAX: MISC This Reference Q!dor 12. BWJNG ADDRESS
~ REFERENCE ORDER NO.: OBLlG-2003-75431-Q-0

t!L
No.
VISUAL EDGE PRODUCTIONS 11. EMPLOYER LD. IDlISl appear 00 aD
10516 SUMMIT AVE STE 202 1 . iavoices and BUREAU OF THE CENSUS
KENSINGTON MD 20895
13. CONTACT:
GONZAW A Ae<:.uR
J.f over
,,"etas... Freiabt
c:IJarge $100
requires a BiD of
FINANCE DIVISION
ROOM 3546, BUD...DING 3
LadiDg.
13a. TEL: 301-493-8515
WASHINGTON DC 20233-4400
13b. FAX: 301-493-8543

K I~ 16. 17. 18. 19. 20.


UNE DESCRIPTION DElJVERY QUAImTY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

1 CONTRACTOR TO PERFORM FIELD PRODUCTION SERVICES 1213112003 ill 4,050.0000 4,050.00


TO INCLUDE TIlE FOllOWING: 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 lliROUGH


DECEMBER 31, 2003.

CENSUS TASK MANAGER: MIKE MORGAN 301-763-3045


ALTERNATE TASK MANAGER: TOM WEBSTER 301-763-3053

U.S. DEPAilTMENT OF COMMERCE - TERMS AND CONDITIONS


The following terms and conditions .. well .. any on .Ilached sbeetJ. apply when this document is ..... 1S • .,.rdlase ordos. U this document is as. delivery ordor, it is subject to the terms and conditions of
the contract referenced in Block M2 of the ordos. S2.2S2·2 Clauses incorporated by Refa<DCe (Apr 84). This <OIIlrac:l incorporates the following da by refesence, with the same force and effect as if they were
gr..en in fuR text. Upon reques~ the Contracting 0IIicer will molt. fuR 1exl ...iIabl..

NOTE: FULL TEXT CLAUSES ARE AVAILABLE AT 1fITP:/IWWW.ARHET.GOVIFARIFARQUERYFRAME.HTML


NOTE 2 INVOICE MUST COINCIDE WlTII UNE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUcnONS FOR SUBMITTING INVOICES ARE ATTACHED
NOTE 4 CONTRACTOR SHALL ALLOW TIlE GOVT 30 DAYS FROM DEUVERY TO INSPECT /II; ACCEPT
NOTES CONTRACTOR AGREES TO INVOICE NO LESS mAN 30 DAYS AFTER DELIVERY
NOTE 6 S2.246-2INSPECTON OF SUPPUES - FIXED PRICE

21. ORDERED BY (NAME AND TITLE) 22. FOR INQUIRIES CAlL 23. FOB POINT 24. DISCOUNT TERMS
PAMILLER 301-763-3547 DESTIN 0% inO net 30
PURCHSGAGT $4,050.00
26. CONTRACTINGIORDERING OffiCER SIGNATURE
LAVANCE
27. DATE SIGNED
0310412003
128 . PROMPT PAYMENT
I Y
1 29. SHIP VIA

NlA
1
30. SHIP TO (INCLUDE ON SHIPPING LABEL) 31. ISSUING OffiCE (DO NOT SHIP OR BILL TO TIllS ADDRESS)
OBLIG-2003-75431-Q-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A. FOB 4 ACQUISmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Attn: S B MASSIE
Sum..AND, MD 20746 SUITLAND MD 20746

Phone:
fORI! CD-404-Ef (09-97)
o. S. DEPARTHBIlT OF COMMERCE
I SUPPLY, EQUIPMENT OR SERVICE ORDER I. ORDI!R. NUMIlI!R.
43-YA-BC-375431
32. SUPPUER
.
(COIlTDIIIATIOII SBEE'!)

33. ISSUING OFPICl! 5.0RDI!R.DATE lB. DATE PIUNTED


PAGE 2 Of 2
1
VISUAL EDGE PRODUcnONS BUREAU OF 1lffi CENSUS 0310412003 I 0211012005
34. 35. 36. 37. 3B. 39. 40. 41.
UNE MOL QTY QTY fINAL fULL ACCOUNTING CLASSIfICATION DIST% AMOUNT
ITEM RECVD
04 02000()().{)00 21 10-02-07-000 11-04-0009-00-00-00-00 25-20-04-00 000000 1000/, 4.050.00

42. 43. 44. 45. 46. SIUP TO ADDRESS 42. 43. 44. 45. 46. StDP TO ADDRI!SS
UNE MOL QTY RI!CIlIVING (INCUJDI! Rl!fERENCI! ORDER NO. UNIl MOL QTY Rl!Cl!lVlNG (lNCLUDI! lU!JlI!RI!NCI! ORDER NO.
I11!M OFPICl! CODI! ON StDPPlNG LABEL) lTI!M omCl!CODB ON StDPPINO LABEL)

47. 4B. 49. so.


LINE REQUISITION NUMBER REQUIsmON DESCRIPTION REQUIsmONER INFORMATION
ITEM

31563-0 Renewal of PO 1143- YABC-033907 S B MASSIE {W)30 1-763-30 12 Loc: FB 3 Rrn: 2720

l'illllllll_,",;i~!~",il!I,,",I!I'!,",:illlil;1:11!!1_5_I._TYP_E_S_1UP_ME_NT
53 RE
+-52._RE_CI!_IPT_SI_G_N_ATURE
_ _"'_TITLE --1__.__CElP
_ _T_D_A_TE -1
ACCEPTANCE: I CERTIfY TIlAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATURE &: TITLE U ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED. INSPECTED AND ACCEPTI!D AS COMPLYING
WlTIl nus ORDER, AS OF TIlE DATE SHOWN.

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