ro~ CD-404-1F 109-97)

U.S. DEPAR'1'ME1lT OF COHHERCE

I SUPPLY, EQUIPMENT OR SERVICE ORDER ~=~er
.... 1.0RDBRNUMBER

43-YA.BC.147394
1-------.--2.-CO-NTRA--cr-'-O-RD-ERE--D-A-G-AlN-S-T"T'"3-.Pt/R--CHAS--1;-'-4-.D-EUVE--R-YT5-.-0-RD-BR-D-A-lE.....,r-6.-S-0UR-C-E------1~ 10

PAGE I OF 2 Specific Provisio.. Apply .oRDER ORDER Proc:uremeat 7. SUB IS. DAlE PRINTED
NONE X 03/301Z001 0lIice. NONE I 02l101Z005
9. SUPPUEll'S ADDRESS 33827 10. 1099 TAX: MISC This Ref=nce l2!der 12. BILUNG ADDRESS

RAWDON SMITH ASSOCIATES INC 1I.EMPWYERI.D.~ No. ~ REFERENCEORDERNO.: OB11G-2001-47394-0-0

must appear on aU
DBA AUDIO VIDEO DATA.COM invoicaand BUREAU OF TIlE CENSUS
7101 WISCONSIN AVESTE 105 13. CONTACT: b 4/ packages. Freighl
cI1utIe over $100
FINANCE DIVISION
BETHESDA MD 20814 BRUCE MOYER requires a Bill of ROOM 3546, BUILDING 3
Ladiag.
13L TEL: 301-651-6333
WASHINGTON DC 20233-4400
I3b. FAX: 301-651-6334

14. 15. 16. 17. IS. 19. 20.

UN!! DESCRlPTlON DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT

ITEM
DAlE ISSUE

I PROVIDE AUDIOTAPE DUBBING AND DISTRlBUTION 09/301Z001 JB 7,000.0000 7,000.00

SERVICES TO TIlE BUREAU OF TIlE CENSUS FOR TIlE PERIOD
APRIL I, 2001 11I0UGH SEPTEMBER 30, 2001.

PREVIOUS PO #43YABC020153

CENSUS CONTACT:

SHARON MASSIE

301-457-8356

U.S. DEPARTMENT OF COMMEllCE· TERMS AND CONDmONS

Tbc followinB I...... and conditio.. IS well IS any on - . . . . _ . apply when Ibis ~ it used IS a purchase order. IfIbis doc~ it Uled IS a delivery order, it is .ubject 10 Ibe terms and conditions of
Ibe c o _ referenced in BIocI: .2 oflbe order. 52.252-2 Clauses incorporated by Rcf..-c (Apr 84). This " ' _ incorporales Ibe fullowing clauses by refercacc, with Ibe same fOrcc IDd cfl'ect IS iflhcy were
siven in I\dllext. Upon request, Ibe eo....cting Officer wiU make fuU IeXI ava.ilablc.
NOlE: FULL 1EXT CLAUSES ARE AVAILABLE AT HIll':IIWWW.ARNET.GOVIFARlFARQUERYFRAME.HTML

NOTE 2 INVOICE MUST COINOOE WITH UNE llEMS ON PURCHASE ORDER

NOTE 3 INSTRUCTIONS FOR SUBMl17ING INVOICES ARE ATIACHED

NOTE 4 CONTRACTOR SHAl.L All.OW 11JE GOVT 30 DAYS FROM DEUVERY TO INSPECT &: ACCEPT

NOlES CONTRACTOR AGREES TO INVOICE NO LESS THAN 30 DAYS AFTER DEUVERY

NOTE 6 S2.246-2INSPECTON OF SUPPUES - FIXED PRICE

21. ORDERED BY (NAME AND TITLE)

LAVANCE
SUPVY PURCHSG AGT $7,000.00
26. CONTRACTING/ORDERING OFFICER SIGNATURE 27. DAlE SIGNED 12S. PROMPT PAYMENT 129. SHIP VIA
LA CAlTERTON 1 03/301Z001 I Y N/A
30. SHIP TO (INCLUDE ON SHIPPING LABEL) 31. ISSUING OFFICE (DO NOT SHIP OR BILL TO TIilS ADDRESS)
OBLlG-2001-47394-0-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUlSmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD

Attn: S B MASSIE

SUITLAND, MD 20746 SUITLAND MD 20746

Phone:
-.------:~----__r-----------------------------
FORM CD-404-h (09-97) I. ORDeR
SUPPLY, EQUIPMENT OR SERVICE ORDER
. . . .- -------------.,
NUMBeR
U. S. DEPARTHEIIT OF COHHERCE
(CONTINUATION SHEET) 43-YA-BC-147394

32. SUPPLIER 33. ISSUING omCE 5. ORDeR DATE 18. DATE PRlNTED
PAGE 2 Of 2
1RAWDON SMITH ASSOCIATES lNC 1 BUREAU OF 1HE CENSUS 03/3012001 I 02/1012005
3-4. 35. 36. 37. 38. 39. 40. 41.
LINI! MOL QTY QTY FINAL fUll., ACCOUNTING a.ASSIflCATION OIST% AMOUNT
ITEM RBCVD
04 020oo0()..()()() 21 10-02-07-000 11-04-0009-00-00-00-0025-20-04-00000000 100% 7.000.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
LINI! MOL QTY RECEIVING (lNQ.UOE REPERENCE ORDER. NO. LINI! MOL QTY RIlCEIVING (INCLUDE REFERENCJ! ORDeR NO.
ITEM OmCECODIl ON SHIPPING LABEL) ITEM OfFICE CODE ON SHIPPING LABEL)

47. 48. 49. so.

UNE REQUISITION NUMBER REQUISITION DESCRJPTION REQUISmONER INFORMATION
ITEM

22422-0 Audiotape dubbing and distribution services (FY 0 I) S B MASSIE (W)301-763-3012 Lac: FB 3 Rrn: 2720

.1_llllr·TYPESHWMENT 52. RECEIPT SIGNA1URE lit TITLE 53. RECEIPT DATE

ACCEPTANCE: I Cl!RTIfY lllAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNA1URE &: TITLE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WITH TInS ORDER, AS Of TIlE DATE SHOWN.