'-"",'

FOItH CD-404-EF (09-97)

U.S. DEPARTM&llT OF COHHERCE
I SUPPLY, EQUIPMENT OR SERVICE ORDER
.....
~:':~~der
I. ORDER NUMBER
43-YA-BC-270536
I------...,...-----L------...,..----r-....,---r-----...,..- ------tinquiriesto
2. CONTRACT ORDERED AGAINST 3. PURCHASE 4. DELIvERy 5. ORDER DATE". SOURCE the
PAGE I OF 2 Specific Provisions Apply ORDER ORDER Procurement 7. SUB 18. DATE PRINTED
NONE X 0911812002 0fIi<e. NONE I 0211012005
9. SUPPLIER'S ADDRESS 70147 110. 1099 TAX: MISC This Rderence ~der 12 BILUNG ADDRESS
~ REFERENCE ORDER NO.: OBLlG-2002-70536-0-0
BRIGHTLINE MEDIA INC
100 S ROYAL ST STE 1
\II.EMPWYERI.D._ No.
must appear on aU
invoices and BUREAU OF TIm CENSUS
ALEXANDRIA VA 22314
13.CONTACT: bJf pacbges. Freight
dwgeover SIOO
FINANCE DMSION
JAMES MOORE requires a Bill of ROOM 3546, BUll.DING 3
Lading.
13.. TEL: 703-739-2424 Xl06
WASHINGTON DC 20233-4400
I3b. FAX: 703-739-8859

14. 15. 16. 17. lB. 19. 20.

UNE DESCRIPTION DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

CONTRACTOR TO PROVIDE PRINTIBROADCAST MEDIA 1213112002 m 10,500.0000 10,500.00

ANALYSIS SERVICES INCLUDING GATImRlNG, ASSEMBLING,
RESEARCHING, ANALYZING AND PRODUCTION OF REPORTS
ABOUT PRINT AND BROADCAST COVERAGE OF CENSUS
BUREAU DATA RELEASES.

PERIOD OF PERFORMANCE: DATE OF AWARD TIIROUGH

DECEMBER 31, 2002

CENSUS TASK MANAGER:

VICTOR ROMERO
301-763-2810

U.S. DEPARTMENT OF COMMDl.CE - TERMS AND CONDITIONS

The foUowing lerms and conditio..... weU .. any on allached sheets, apply when lhis document is used as a purchase nrdet. If this d~ is used as a deJivery order, it is subject 10 the terms and conditions of
the contract referenced in BIocIt 112 of the order. 52.252-2 Cia.... incorporated by Refe<ence (Apr 84). This contraet incorpnrates the following clauses by rer..ence, with the 3Il1Ie force aad effect .. if they were
given in fuUte<\. Upon request, the COfItracting Officer will make ruR text available,

NOTE: FULL TEXT CLAUSES ARE AVAILABLE ATlfITP:/IWWW.ARNET.GOVIFARIFARQUERYFRAME.1ITML

NOTE 2 INVOICE MUST COINCIDE WITII UNE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUcnONS FOR SUBMlTTlNG INVOICES ARE ATTACHED
NOTE 4 CONTRACTOR SHAll AlUlW nil! GOVT 30 DAYS FROM DEUVERY TO INSPECT 8< ACCEPT
NOTES CONTRACTOR AGREES TO INVOICE NO LESS TIIAN 30 DAYS AFTER DELIVERY
NOTE 6 52.246-2 INSPECTON OF SUPPLIES - FIXED PRICE

21. ORDERED BY (NAME AND TITLE)

LAVANCE
SUPVY PURCHSG AGT $10,500.00
26. CONTRACTJNGIORDERING OrnCER SIGNATURE 27. DATE SIGNED 128, PROMPT PAYMENT 1 29. SHIP·VIA
LAVANCE
1 0911812002 I Y N/A
30. smp TO (INCLUDE ON SIUPPING LABEL) 31. ISSUING OrnCE (DO NOT SHIP OR BILL TO'UIIS ADDRESS)
OBLIG-2002-70536-0-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF TIm CENSUS
ROOM 1203A, FOB 4 ACQUISmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Attn: K C MEYER
SUITI..AND, MD 20746 SUITLAND MD 20746

Phone:
FORM CD-404-EF (09-97) I. ORDER NUMBER
U. S. DEPARTHEIIT OF COMlIERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-270536
(CONTlIlUATlOH SHEET)

PAGE 2 OF 2
3:z.SUPPUER 33. ISSli'ING OFFICE 5. ORDER DATE 18. DATE PRJNTEJ)
\ BRIGHTIlNE MEDIA INC BUREAU OF THE CENSUS 0911812002 I 0211012005
34. 35. 36. 37. 38. 39. 40. 41.
UNE MDL QTY QTY FINAL FUll.. ACCOUNTING a.ASSIFlCATION D1ST% AMOUNT
ITEM RECVD

04 6741000-000 20 04-03-08-000 11-04-0009-00-00-00-00 25-20-04-00 000000 100% 10.500.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHJP TO ADDRESS
UNE MOL QTY RI!CI!IVING (lNCLUDB REFERENCE ORDER NO. UNE MOL QTY RECEIVING (lNCLUDB REFERENCE ORDER NO.
ITEM OFPICECODB ON SHIPPlNG LABEL) ITEM OFHCECODE ON SHJPPlNG LABEL)

47. 48. 49. so.

UNE REQUlSl1l0N NUMBER REQUISIllON DESCRlPllON REQUlSIllONER INFORMATION
ITEM

29662-0 PrinIIBroadcasl Media Analysis Services: Includes gathering, PH DUNTON (W)301-763-2806 Loe: FB 3 Rm: 2705

52. RECEIPT SIGNAllJRE '" TITLE 53. RECEIPT DATE

ACCEPTANCE: I CERTIFY llIAT ARTICUS AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNAllJRE '" TITLE 55. ACCEPTANCE DATE
ABOVE HAVB BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
W11lI TInS ORDER, AS OF TIlE DATE SHOWN.