Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

.)~ CD-404-EF (09-91) 1 ...... I.

ORDER NUMBER
U.S. DEPAR'lHEHT OF COHHERCE SUPPLY, EQUIPMENT OR SERVICE ORDER ~=~der 43-YA-BC-377746
I-------r---.....L.-------.-----,....---'T"'"-----r-
1. CON11lACI' ORDBRBD AGAINST 3. PURCHASE 4. DEUVERY 5. ORDER DAn; ~. SOURCE
------linquiries
the
10

PAGE I OF 2 Spoc:iIk:ProWionsAppIy ORDER ORDER Procurement 1. SUB 18. DATE PRINTED


NONE X 05105/2003 Office. NONE I 02/10/2005
9. SUPPUI!R'S ADDRESS 70940 :0. 1099 TAX: MISC ThisRd'erca<:e~ I1.BIUlNGADDRESS
EMERALDSIRATEGffiSmC No. ~ REPl!Rl!NCEORDERNO.: OBLIG-2003-77746-0-0
II.I!t1"WYER J.D. mustoppell' CHI all
21 EIGHT ST SE 1 iM>icosaDd BUREAU OF THE CENSUS
13. CONTACI': l?
JlI"bI<:t. PRisbt
. - obuae ow:r Sioo
FmANCE DIVISION .
WASHINGTON DC 20003 KAmY MCSIIJ:A requires a BiD of ROOM 3546, BUILDmG 3
13a. TEL: 201-543-2112
Ladinl-
WASHINGTON DC 20233-4400
13b. FAX: 202-543-166

14. IS. 16. 17. 18. 19. 20.


UN!! DESCRIPTION DEUVl!RY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM DAn; ISSUE

I CONTRACTOR TO PROVIDE MEDIA TRAINING SESSIONS FOR 09130/2003 JB


THE BUREAU OF THE CENSUS PER AlTACHED STATEMENT
OF WORK..

IRAVEL IS mCLUDED m TOTAL COST

PERIOD OF PERFORMANCE: DATE OF AWARD THROUGH


SEPTEMBER 30, 2003

CENSUS TASK MANAGER:


KIMBERLY CREWS
301-763-8565

U.s. DEPARTMENT OF COMMERCE - n:R.MS AND CONDmONS


The following terms aDd c:oaditions as weD as any on atta<:hed "'-'s, apply when this document is used as a purchase order. If this doc:umeIII is used as a delivery order, it is subject 10 the lerms aDd conditions of
the conll1lct reIereoced in Block If2 ofthe order. 52.252·2 Clauses incorporated by Rel'ereuce (Apr 84). This conlract incorporates the foBowing clauses by reference, with the same force and effect IS iCthey were
given in fuD Iext. Upon request, the Contrllcling Office< will make fuD l<:I<l available.

NOTE: FUlL TEXT CLAUSES ARE AVAILABLE AT IITTPJIWWW.ARNET.GOVIFARIFARQUERYFRAME.HTML


NOTE 2 INVOICE MUST COINCIDE WITH LJNI! ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBMITTING INVOICES ARE ATTACHED
NOTE 4 CON11lACTOR SHALL AllOW THE GOVT 30 DAYS FROM DEUVERY TO INSPECI'.t ACCEPT
NOTES CONrRACI'OR AGREES TO INVOICE NO LESS THAN 30 DAYS AFTER DEl,IVI!RY
NOTE 6 52.246-2 INSPECTON OF SUPPUES . FIXED PRICE

21. ORDERED BY (NAME AND TIlLE)


LAVANCE
SUPVY PURCHSG AGT
n;:,.:= n~':s';; ~=.::: II (bX~
26. CONrRACI'lNGIORDERlNG OfFICER SIGNATIJRE 21. DATE SIGNED 128 . PROMPT PAYMENT 129. SHIP VIA
LAVANCE 1 05105/2003 I Y N/A
30. SHIP TO (INCLUDE ON SJDPPING LABEL) 31. ISSUING OfFICE (DO NOT SHIP OR BIll. TO TInS ADDRESS)
OB11G-2003-77746-0-o
REFERENCE ORDER NO.:
BOC MAm RECEJVmG DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUISmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Alb1: K A CREWS
SUITLAND, MD 20746 SUITLAND MD 20746

Phone:
"',M CD-404-EF (09-97)
SUPPLY, EQUIPMENT OR SERVICE ORDER I. ORDER NUMBER
\J. 8. DEPARTHENT OF COMMERCE 43-YA-BC-377746
(CONTIIlIlATIOII SBEETI

PAGE 2 OF 2
32. SUPPUER 33. ISSUING OffiCE 5. ORDER DATE 18. DATE PRINTED
1
EME~DSTRATEGffiSmC BUREAU OF THE CENSUS 05/0512003 I 0211012005
34. 35. 36. 37. 38. 39. 40. 41.
UNE MOL QTY QTY FINAL FULL ACCOUNTING CLASSIFICATION DIST% AMOUNT
ITEM RECVD
04 6210000-000 20 04-03-02-000 11-04-0009-00-00-00-00 25-10-04-00 000000 100%

42. 43. 44. 45. 46, SHIP 1'0 ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
UNE MOL QTY REC£MNG (lNa..uDE RI!FERl!NCIl 0IlDEJl NO. UNE MOL QTY RBCl!MNO (INCLUDE REFERENCB ORDER NO.
ITEM OffiCllCODB ON SHIPPING LABEL) ITEM OfFICBCODE ON SHIPPING LABEL)

47. 48. 49. 50.


UNE REQUlSI110N NUMBER REQUlSI110N DESCRIPTION REQUlSI110NER INFORMATION
ITEM

32069-0 Prepare staff to better handle media releations, we cooduct media and ~ HARRINGTON (W)30 1-763-2181 Loc: FB 3 Rm: 2085

l,i!illllliilllllllllllll... 'iI;1.,5_I._TYP
__ E_SHIP_ME_NT +5_2._RE_CE_IPT_S_IG_N_A_TURE
__ cl_TlTLE -+_53_,RE_CE_IP_T_D_ATE -l
ACCEPTANCE: I CERTIFY 1lIAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATURE cl TITLE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WITH l1ilS ORDER, AS OF TIlE DATE SHOWN.

You might also like