t,'I,U!

lH CD-404-EF (09-971
t U.S. DBPARTMEII'I' OF COHHERCB
I
{ ..-----------...----------------------------"T""-.....,,~..,....---_:=:::----__,
~
SUPPLY, EQUIPMENT OR SERVICE ORDER ~:":~der
J. ORDER NUMBER
43-YA-BC-259594
2. CONnACf ORDERED AGAINST
Specific ProvisiOlB Apply
3. PURCHASE 4. DEUVllRY S. ORDER DATE
.oRDER' ORDER
~. SOURCE ;;:iries 10
ProcurClJ\Clll 7. SUB IS. DATE PRIN11ID
PAGE I OF 2
NONE X 12/0712001 Office NONE I 0211012005
9. SUPPUER'S ADDRESS 33309 :10. 1099 TAX: MISe ThisRefer..... ~ I2.BILUNGADDRESS

1II.I!MPWYER I.D.~

MEDIALINK No. ~ REFERENCE ORDER NO.: OBLIG-2002-59594-0-o

must appear on aD
NATIONAL PRESS BUll..DING . invoica and BUREAU OF TIlE CENSUS
529 14m STNW STE 1230 13. CONTACf: b L.( pawses. Preighl
chasse over SI00
FINANCE DIVISION
WASHINGTON DC 20045 MONICA JENNINGS requires a Bill of ROOM 3546, BUILDING 3
13.. TEL; %0:1-611-3800 Lading.
WASHINGTON DC 20233-4400
I3b. FAX: %OU18-2377

14. IS. 16. 17. 18. 19. 10.

UN!! DESCRIP110N DEUVllRY QUAN1TJY UNIT UNIT PRICE AMOUNT

ITEM DATE ISSUE

I CONTRACTOR TO PERFORM BROAOCAST DISTRIBUTION 0913012002 m 20,000.0000 20,000.00

SERVICES TO INCLUDE TIlE HARDCOPy (TAPE AND DISC)
AND SATELLITE DISTRIBUTION OF BROAOCAST VIDEO,
RADIO, AND PHOTOGRAPHY PROGRAMS.

PERIOD OF PERFORMANCE: OCTOBER 1,2001 TIlROUGH

SEPTEMBER 30, 2002

CENSUS CONTACT: VICTOR ROMERO (301) 457-2810

U.S. DEPARTMI:NT OF COMMERCE - TERMS AND CONDmONS

The fullowiftg lerna and conditions as weB as any on al18cbed sheets, apply wbenlbis do<umenl is ""'" as a purchase order. Irthis document is ""'" as a delivery order, it is sul!ject to thelerms and conditions or
Ibe contract rderenoed in Block it2 orlbe order. 52.252-1 Cia..... incorporated by Refer.... (Apr 84). This contnlcl incorporateo Ibe rolowins cia..... by rderence, with Ibe same force and _ a s if they were
given in run text Upon requCS!, Ibe Conlraq Officer will make ruu lext available.

NOTE; FUlL TEXT CLAUSES ARE AVAILABLE AT IITTP:/IWWW.ARNET.GOVIFARIFARQUERYFKAMI!.HTMI.

NOTE 2 INVOICE MUST COINCIDE wrm UN!! ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBMITTING INVOICES ARE AITACHED
NOTE 4 CONTRACfOR SHALL AJJ.OW 1HI! GOVT 30 DAYS FROM DEUVERY TO INSPECf & ACCEPT
NOTES CONnACTOR AGRI!ES TO INVOICE NO LESS TIIAN 30 DAYS AFTER DI!UVl!RY
NOTE 6 52.246-2 INSPECTON OF SUPPUi!S - FIXED PRICE

21. ORDERED BY (NAME AND 1111.1!)

PAMILLER
PURCHSGAGT $20,000.00
26. CONTRAcrJNGIORDBRlNG OFFICER SIGNATURE 27. DATI! SIGNED 128. PROMPT PAYMENT 129. SHIP VIA

LAVANCE
1 1210712001 I Y N/A

30. SHlP TO (INCLUDE ON SIllPPING LABEL) J I. ISSUING OFFICE (DO NOT SHIP OR BILL TO TInS ADDRESS)
OBLIG-2002-59594-o-0
REFERENCE ORDER NO.:
HOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS

ROOM 1203A, FOB 4 ACQUISITION BRANCH, ROOM G-312-3

4700 SILVER HILL ROAD

4700 SILVER HILL ROAD

Attn; S B MASSIE

SUITLAND, MD 20746
SUITLAND MD 20746
Phone;
· i
,I
FORK CD-404-EF (09-97) I. ORDER NUMBER
U.'I;. DEPARTMEIIT OF COHHEIU::E
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-259594
(COIITIHUATIOII BBEET)

PAGE 2 132. SUPPIJER 33. ISSUING OPFICE 5. ORDER DATI! \8. DATI! PRINTED
OF 2
MEDlALlNK ' BUREAU OF THE CENSUS 1210712001 I 0211012005
34. 35. 36. 37. 38. 39, 40, 41.
UNE MOL QTY QTY FINAL FULL ACCOUNTING CLASSIFICATION DIST% AMOUNT
ITEM RECVD

04 6741000-000 20 04-{)3~8~00 1I-04-{)009-o0-00-0o-oo 25-20-04~0 000000 100% 20.000.00

42. 43. 44. 45. 46. SIUP TO ADDRESS 42. 43. 44. 45. 46. SIDP TO ADDRESS
UNE MOL QTY RBCl!lVlNG (INa.UOB Rl!FERl!NCI! ORDER NO. UNE MOL QTY RECl!IVJNG (INa.UOE REl'ERBNCI! ORDER NO.
ITEM OPFICECODE ON SHIPPING LABEL) ITI!M OFFJCECODB ON SIDPPING LABEL)

48. 49. 50,

REQUISITION NUMBER REQUISITION DESCRIPTION REQUISITIONER INFORMAnON

26280-0 BROADCAST DISTRIBUTION SERVICES (FY 02) S B MASSIE (W)301-763-3012 Loc: FB 3 Rm: 2720

52. RECEIPT SIGNATURE &: TITI.E 53. RECEIPT DATI!

ACCEPTANCE: I CERTIFY TIIAT ARTICLES AND/OR SERVICES ANNOTATI!D 54. ACCEPTANCE SIGNATURE" TInE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECI!IVED,INSPECTED AND ACCEPTED AS COMPLYING
Willi TIllS ORDER, AS OF nIB DATE SHOWN.