FORM CD-404-EF (09-97)

U.S. DEPAR'ftIE1IT OF COMMERCE

I SUPPLY, EQUIPMENT OR SERVICE ORDER
~
~:,:~der
1.0RDERNUMBER
40-YA-BC-910440
r------.,.-2. CONTRACT
--L ------r-- - r - - - - r -__
ORDERED AGAINST PURCHASE DEUVERY S. ORDER DATE 3. 4.
---~~=~----_1inquiriesto
6. SOURCE. the
PAGE I OF 2 Specific Ptovisions Apply ORDER ORDER Procurement 7. SUB IS. DATE PRINTED
NONE X 0312311999 Office. NONE I 02/1012005
9. SUPPLIER'S ADDRESS 33827 :10. 1099 TAX: MISe Thio Reference Order 12. 81lUNG ADDRESS

RAWDON SMITH ASSOCIATES INC ...-... No. '~ OBLIG.1999-10440-o-o

RI!l'I!RRNCE.ORDERNO.:
DBA AUDIO VIDEO DATACOM 1II.EMPLOYl!RLD.~
L..-
mustoppear on aD

....;;===!!!!!=;....---j invoices and BUREAU OF TIlE CENSUS

nOI WISCONSIN AVE STE 105 13. CONTACT: t:JJ...I podtog<s. Freight FINANCE DMSION
BETHESDA MD 20814 darB- over $100
BRUCE MOVER requires 0 BiD of ROOM 3546, BUIT..DING 3
Lading.
130. TEL: 301-'51-6333
WASHINGTON DC 20233-4400
13b. FAX: 301-65U334

14. IS. 16. 17. II. 19. 20.

UNE DESCRIPTION DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT

ITEM DATE ISSUE

I 500 COPIES (25 AUDIO CASSETIES) 04123/1999 JB 420.0000 420.00

TOTAL COST FOR DUBBING, LABELS, AND TWD-DAY

SHIPPING VIA UPS IS INCLUDED IN THE PJtICE.

u.s. DEPARTMENT OF COMMERCE· TERMS AND CONDmONS

The following Ienns ond conditions as weD as any on ouochcd sheets, opply when this document is ...... as 0 purchase order. If this do<:wncnt is as. dclivay order, it is subject to the!erms and conditions of
the contract referenced in BIod< N2 of the order. 52.252-2 Cia.... incorpo~tcd by Refer"""" (AIM' 84). This coatract incorpolllt<S the foRowing do by refer"""", with the some force and effect as if they were
given in liID text. Upon reques~ the Contracting Officer will maItc liID text .vailable.

NOTE: FUlL TEXT CJ.AUSES ARE AVAILABLE AT 1fITP:/IWWW.ARNET.GOVIFARIFARQUERYFRAME.HTML

NOTE 2 INVOICE MUST COINCIDE WITH UNE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUcnONS FOR SUBMITTING INVOICES ARE ATIACHED
NOTE 4 CONTRACTOR SHAU. AlLOW THE GOVT 30 DAYS FROM DEUVERY TO INSPECT IlL ACCEPT
NOTES CONTRACTOR AGREES TO INVOICE NO LESS TJJAN 30 DAYS AfTER DEUVERY
NOTE 6 52.24(,.2 INSPECTON OF SUPPLIES; FIXED PRICE

21. ORDERED BY (NAME AND TITLE) 22. FOR INQVJRIES CALL 23. FOB POINT 24. DISCOUNT TERMS
L R SAFEWRIGHT 301-763-3548 DESTIN 0% in o net 30
PURCHSGAGT $420.00
26. CONTRACTINGIORDERING OffiCER SIGNATURE 27. DATE SIGNED 12g . PROMPT PAYMENT j29. SHIP VIA
L A CATTERTON 03123/1999 I YIN/A
1
30. SIUP TO (INCLUDE ON SHIPPING LABEL) 31. ISSUING OffiCE (DO NOT SHIP OR BllL TO TJUS ADDRESS)
OBLIG-1999-10440-O-O
REFERENCE ORDER NO.:
SEE THE DESCRJPTION FIELD
BUREAU OF TIlE CENSUS
FOR THIS LINE ITEM FOR SPECw..
ACQUISmON BRANCH, ROOM G-312-3
SHIPPING INSTRUCTIONS.
4700 SIT..VER HIT..L ROAD
Attn: G MEKONNEN
O,NAO SUITLAND MD 20746

Poooe:
FORM CD-404-EF (09- 91) I. ORDER NUMBER
U. S. DEPARnlENT OF COloDlERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 40-YA·BC-910440
(COII'rlNUATION SBEBTI

32. SUPPUER 33. ISSUING OFFICE 5. ORDER DATE 18. DATE PRINTED
PAGE 2 OF
1RAWDON SMITII ASSOCIATES INC BUREAU OF TIlE CENSUS 0312311999 I 0211012005
34. 35. 36. 37. 38. 39. 40. 41.
UNE MOL QTY QTY FINAL FULL ACCOUNTING CLASSIFICATION DIST% AMOUNT
ITEM RECVD

04 6002000-000 20 04-03-01-000 11-15-0057-80-84-00-00 24-03-03-00 000000 100% 420.00

42. 43. 44. 45. 46. SIDP TO ADDRESS 42. 43. 44. 45. 46. SIDP TO ADDRESS
UNE MOL QTY RECEIVING (INCLUDE RJ!FIlRENCl! ORDER NO. UNE MOL QTY RECEIVING (INCUJDJ! REFERENCE ORDER NO.
ITEM OFFICE CODE ON SlDPPlNG LABEL) ITEM OFFICE COD!! ON SHIPPING LABEL)

41. 48. 49. 50.

UNE REQUISITION NUMBER REQUISITION DESCRIPTION REQUISITIONER JNF{)RMATION
ITEM
5741-0 500 copies (25 Audio Cassettes) R P HARRIS (W)301-763-7870 toe: SFC 2 Rm: 1402

1IIIi;r.i.II. . . .llill'JlllliI51. TYPESmp~m

52. RECEIPT SIGNA11JRE '" Tl1LE 53. RECEIPT DATE

ACCEPTANCE: I CERTIFY 11IAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATIJRE &: Tl1LE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WITII TmS ORDER. AS OF THE DATE SHOWN.