FORM CD;404-EF (09-97)

U.8. DEPARftIEIl'l' OS' CONERCE

I SUPPLY, EQUIPMENT OR SERVICE ORDER =:*' ~ I. ORDE1lNUMBI!R
43-YA-BC-lS057&
r------'T'"---.L-------r---.....,r---....,.----....,~=~----~. inquirieslD
2 CONTRACT 01lDl!llED AGAINST ). PlJRCHASE 4. DI!LIVI!IlY S. ORDEIl DATE ~. SOURCE die
PAGE I OF 2 Specific Provisioaa Apply pRDI!R ORDER Pn>c:uraneIIt 7. SUB lB. DATE PRINl1ID
NONE X 0513112001 0lIice. NONE I OUI012005
This1leCeRuco~ 12. BlLLlNGADDItESS
l
9. SUPPLJER'S ADDRESS 64017 :o.I099TAX: MISe
OBLIG-2001-50578"()'{)
~
No. ~ lUlFI!1lI!NCI!ORDl!RNO.:
ALlED VAN OOREN I I. I!MPLOYER I.» _ eppar OIl aD
DBA APOGEE COMMUNICATIONS iDYokes Md . BUREAU OF TIIE CENSUS
900 MC DANIEL COURT Il COtITACT' ..... pocbses. FRiPl FINANCE DMSION
HERNOON VA 20170 •• cbarBe over SIOO
ALJED VAN DORDl CAGLE Bit or ROOM 3546, Bun.DING 3
13a. TEL: 783 411-1621 Lad...
WASHINGTON DC 20233-4400
ilia. FAX: 7V.J 0..3391

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

1mB DI!SCIUPTION DI!UVEIlY QUAtmTY UNrT UNIT PRICE AMOUNT
rmM DATE ISSUE

1 PROVIDE SCRIPT WR1TlNO SERVICES FOR TIIE BUREAU OF 0913012001 JB 7,500.0000 7,500.00
TIIE CENSUS FOR TIm PERIOD MAY 31, 2001 TIlROUGH
SEPTEMBER 30, 2001.

u.s. DEPAIlTIIENT OF COMMERCE· TERMS AND CONDmONS

The roUowins _ coadilio.. IS _ IS IIIJ on.ltaI:bed sIIeds, oppIy whoa tbio cIocmaaIt is used as. pwclue Older. Il'lIlis oIo<:wMa iollllCd as. ddiwry Older, i1io bjectlO the terms .... conditions of
the COIIIJaa lofer 01......
in BIDet 12 of.... 52252-2 CIauscs inallJlOlll bJ ~ (Apr 84). This co_a incoJporaJa the IOUowins olallS" bJ rd'aooce, with ....., force and elreet as iflhey were
giw:a in ruuIext. Upoll request, the Co~ 0IIic:cr will "'e "'t led . . . . .
NOTE: FULL TEXT~USES ARE AVAlLABLI! AT HrTP-JIWWW.ARNET.GOVIFARIFARQUER.YFRAMI!.HTML
NOTE 2 INVOICI! MUST COINCID£ WITH UNI! rT£MS ON PURCflASE ORDER
NOTE) JNS11l.UCTIONS FOR SUBMITIJNG INVOICI!S ARE ATTACHED
NOTE 4 CONTRACTOJt SHAU. AU.OW 1HE GOVT 30 DAYS FROM ll1!UVI!RY TO INSPECT 41; ACCEPT
NOTES CONTRACTOR AGREES TO INVOICE NO LESS 'DIAN 30 DAVS AFTER DEUVERY
NOTE 6 52.246-2 INSPECTON OF SUPPLIES - FIXIlD PRICE

24·~~~::n:: ~
21. ORDERED BY (NAME AND TJTI.,E) 22. FOR INQUIRIES CAll. 23. FOB POItIT
PAMD..LER 301-763-3547 DESTIN
PURCHSGAGT $7,500.00
26. CONTRACTING/ORDERING OFFICER SIGNAnJRE 27. DATE SIGNED 128. PROMPT PAYMENT 29.-:S=HIP~VIA:-:-------t
LA CATIERTON
1 0513112001 I Y N/A
30. SHIP TO (INCLUDE ON SJUPFING LABEL) 31. ISSUING OFFICE (DO NOT SHIP OR BILl. TO TInS ADDRESS)
OBUG-2001-50578-o-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF mE CENSUS
ROOM 1203A, FOB 4 ACQUISmON BRANCH, ROOM 0·312·3
4700 SILVER HILL ROAD 4700 SILVER lllLL ROAD
Attn: S B MASSIE
SUITLAND, MD 20746 SUITLAND MD 20746

Phone:
 FORM CD-404-EF (09-91) I. ORDEIl. NUMBEIl.
• u. s.DEPJDt'IMEft OF COMIIERCE SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-150578
(COIl'1':r~:ro. BllBBr)

PAGE 2 132. SUPPUI!Il 33. ISSUING OFfICI! 5.0RDBRDA1E la. DATE PRINTED
OF 2
ALIED VAN DOREN BUREAU OF TIIE CENSUS 0513112001 I 0211012005
34. 35. 36. 37. 38. 39. 40. 41.
UNE MOL QTY QTY FINAL FUU. ACCOUNTING CLAS5lFlCATION DJST% AMOUNT
IlEM RI!CYD
1 1 1 040200000-000 21 10-02-07-000 11-04-0009-00-00-00-OO 25-20-04-00 00000o 100" 7.500.00

42. 43. 44- 45. <46. SJDP TO ADDRESS 42. 43. 44. 45- 46. SJBP TO ADDRIlSS
LINE MOL QTY RECEIVING (IN(UJDB IlIlFBRBNCB ORDllR NO. LINE MOL QTY RI!CI!JVING (1N(1UDI! RBFI!RBNCI! ORDl!ll. NO.
J11!M OPI'ICB COllI! ON SHIPPING LABEL) lI'BM OFFICE CODI! ON SHIPPINO LABEL)

47. 48. 49. so.

UPlE REQUlsmON NUMBER REQUISITION DESCRIPTION REQUlSlnONER INFORMATION
ITEM
22763-0 Script Writing Services (FY 01) S B MASSIE (W)30 1-763-3012 Loc: FB 3 Rrn: 2720

. :: 51. TYPE SHIPMENT 52. RECEIPT SIGNATIJRE & TTI1J! 53. RECEIPT DATE

ACCEPTANCE: I CERTIFY TIlAT ARTIa.ES AHDIOR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATURE.t nTLE 55. ACCEPT ANCI!. DATE
ABOVE HAVE BEEN RECEIVED,INSPEC'IlID AND ACCEPTED AS COMPLYING
WI11I nus ORDER, AS OF TIlE DATE SHOWN.