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FQlIH CD-404~EF (09-911

U.S. DEPARTMEN'I' OP COHHEIICE


I SUPPLY, EQUIPMENT OR SERVICE ORDER
U""~rder
Number for
1.0RDERNUMBER
43-YA-BC-372361
1------"""T-2.-CO-NTRA--CT..L.-O-RD-ERED--A-G-AIN-S-T.,....3-.-PUR!-0IAS--E-'T4-.-DEUVER---yT'-S.-O-RD-ER-D-A-TE-"-.S -O-UR-CE------1:;:uiries 10

PAGE I OF 2 Specific Provisions Apply ORDER ORDER Procurement 7. SUB 18. DATE PRINTED
NONE X ll/0612002 Oflice NONE I 02/1012005
9. SUPPUER'S ADDRESS 38898 io. 1099 TAX: NONE 1bisReference~der 12. BILLING ADDRESS
~ REFERENCE ORDER NO.: OBLlG-2003-72361-Q-Q
r
No.
STRAUSS RADIO STRATEGIES INC 11. EMPLOYER \.D. must .ppeu on .n
NATIONAL PRESS BUILDING invoices IJId BUREAU OF THE CENSUS
529 14m STNW STE 1163 13. CONTACT: pacbs", Freight
. - charge FINANCE DIVISION
WASHINGTON DC 20045 over $100
R1CBAADSTllAUSS requ..... Billof ROOM 3546, BUILDING 3
I3L TEL: 281-631-0200 lAding.
WASHINGTON DC 20233-4400
Ilb. PAX: 202-631-0400

14. U. 16. 17. 18. 19. 20.


LINl! DESCRIP110N DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

I CONTRACTOR TO PROVIDE BROADCAST DISTRlBUTIN 1213112003 m 15,000.0000 15,000.00


SERVICES TO INCLUDE THE HARD COpy (TAPE AND DISC),
AND SATELLITE DISTRIBUTION OF BROAIX:AST VIDEO,
RADIO AND PHOTOGRAPHY PROGRAMS. INCLUDES OTIiER
DIRECT COSTS.

PERIOD OF PERFORMANCE: DATE OF AWARD THROUGH


DECEMBER 31, 2003

CENSUS TASK MANAGER: TOM EDWARDS 301-763-2184


ALTERNATE TASK MANAGER: PAT DUNTON 301-763-2806

U.s. DEPAATMENI' OF COMMERCE - n:RMS AND CONDmONS


The followinB terms IJId conditions as well as any on .Ilacbed sheets, .pply when this document is uscd as. purchase order. If this documeol is ..cd as. delivery order. it is subject 10 "'elerms IJId cooditions of
the contract referenced;" Block t:z ufthe order. S2.252-2 Cia.... inc:orponoted by Reference (Apr 84). This contract incorporal" the foUowinB cia.... by reference, with the same force and effect as iflhey were
Sivea in fulll<X1. Upon requcsl, the Contraetias Officer will make fuU1exl available.

NOTE: FULL TEXT CJ,AUSES ARE AVAlLABUl AT 1ITIP:JIWWW.ARNET.GOVIFARlFARQUERYFRAME.tI1ML


NOTE 2 INVOICE MUST COINOOE WllH LiNE ITEMS ON PUROIASE ORDER
NOTE 3 INSTRUcnONS FOR SUBMITIlNG INVOICES ARE ATTAOIED.
NOTE 4 CONTRACTOR SHAlL AlLOW TIlE GOVT 30 DAYS FROM DEUVERY TO INSPECT 8: ACCEPT
NOTES CONTRACTOR AGREES TO INVOICE NO UlSS mAN 30 DAYS AFTER DEUVERY
NOTE 6 S2.24f>.2 INSPECTON OF SUPPUES - FIXED PRICE

21. ORDERED BY (NAME AND TITLE) 22. FOR INQUIRIES CALL 23. FOB POINT
PAMlLLER 301-763-3547 DESTIN
PURCHSGAGT $15,000.00
26. CONTRACTlNGJORDERJNG OmCER SIGNATURE 27. DATE SIGNED 128. PROMPT PAYMENT 129. SHIPYIA
LA VANCE
1 11/0612002 I Y I N/A
30. SHIP TO (INCLUDE ON SIIIPPING lABEL) 31. ISSUING OmCE (DO NOT SHIP OR BILL TO THIS ADDRESS)
OBLlG-2003-72361-0-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF TIIE CENSUS
ROOM 1203A, FOB 4 ACQUISmON BRANCH, ROOM G-312-3
4700 SlLVER HILL ROAD 4700 SILVER HILL ROAD
AI1D: S B MASSIE
SUITLAND, MD 20746 SUITLAND MD 20746

Phone:
FORlf CD-404-EF (09-97)
• U. S. DEPARtmHT OF COMMERCE
I SUPPLY, EQUIPMENT OR SERVICE ORDER
lCONTllIOATIOH SHEET)
I. ORDER NUMBER
43-YA-BC-372361
32. SUPPUER 33. ISSUING omCE 5. ORDER DATE 18. DAn;; PRINTED
PAGE 2. OF 2.
1
STRAUSS RADIO STRATEGIES INC BUREAU OF TIlE CENSUS 11/0612002 I 0211012005
34. 35. 36. 31. 38. 39. 40. 41.
lJNE MDL QTY QTY FINAL FULL ACCOUNTING CLASSlflCATION DlST% AMOUNT
ITEM RECVD

046210000-000 20 04-03-02-000 11-04-0009-00-00-00-00 25-20-04-00 000000 100% 15.000.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
UNE MDL QTY RECEIVING (lNa.uDB REFERENCE ORDER NO. UNE MDL QTY RECEIVING (lNO-UDE RI!FERENCE ORDER NO.
ITEM OmCECODI! ON SHIPPING LABEL) ITEM OmCECODE ON SHIPPING LABEL)

41. 48 49. so.


UNE REQUISITION NUMBER REQUISITION DESCRIPTION REQUlSmONER INFORMATION
I1EM

30643-0 "Renewal ofPO #43-YABC-140460 S B MASSIE (W)301-763-3012 Loe: FB 3 Rm: 2720

ij!'11ii~;Ik:~:::mIt~fff ;~~~\\'
s
··· .. ··i::;illi;L15_1_.TYPE_SHIP_ME_NT
__ +5_2._RE_CElPT
_ _S_I_GN_A_lVRE
__ &._11TI..E -----------t-3_'RECEIPT_D_ATE --1
ACCEPTANCE: I CERTIFY 11lAT ARTIa.ES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNAlVRE &. TInE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLV1NG
WITH lHlS ORDER, AS OF THE DATE SHOWN.

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