.FC:iM CP-404-EF (09-91) ~ I.

ORDER NUMBER
0. S. DBPARTMEII'r OF COHMERCI: SUPPLY, EQUIPMENT OR SERVICE ORDER U... thii Order
Number for 43-YA-BC-140295
t------...,.-:-.....=---L--__---..,...----.,....---:or--.. . .
2. CONTRACT ORDERED AGAINST 3. PURCHASE '4. DEUVERY S. ORDER DATE
-:--:::,.;~=:::_----_1inquiries to
. SOURCE the
PAGE I OF 2 Specific PnMsio", Apply ORDER ORDER Procurement 7. SUB 8. DATE PRINTED
NONE X 10/1312000 Ollice. NONE 0211012005

34627 This Rd'eRnce Order 12. BILUNG ADDRESS

No.
_ appeor on aD
REFERENCE ORDER NO.: OBUG-2001-40295-0-0
iBvoicaand BUREAU OF nm CENSUS
13. CONTACT: packages. Fr.... FINANCE DMSION
chars. OYer $100
UOmWOLF requires a BiDoC ROOM 3546, BUH..DING 3
13a.~
Lading.

13b.FAX:_~ WASHINGTON DC 20233-4400

14. 15. 16. 17. 18. 19. 20.

UNE DESCRIPTION DEUVERY QUANIlTY UNIT UNIT PRICE AMOUNT
rrEM DATE ISSUE

PROVIDE nm FOLWWING FOR TIlE PERIOD OCTOBER 1,2000

TIlROUGH SEPTEMBER 30,2001 •

PHOTOGRAPHIC SERVICES 0913012001 m 15,000.0000 15,000.00

u.s. DEPARTMI:NT OF COMMERCE, TERMS AND CONDmONS

The foDowing terms and conditions .. w.ll .. any on allached sheets, apply when this cIo<ument is used .. a purc..... order. ICIhis docu_ is used .. a delivery order, it is subject to the terms and conditions of
the ""....et referenced in Block 12 of the order. 52.252-2 CIa.... incorporated by ReCera1ce (Apr 84). This coonet incolJ'OOltes the lODowing cia..... by refOrence, with the ..... force and effect .. if they were
given in fuU text Upon request, the Contracting Officer will malt. full text available.

NOTE: FUlL 1EIT CLAUSES ARE AVAILABLE AT 1ITJ1':/IWWW.ARNET.GOVIFARIFARQUERYFRAME.1fIML

NOTE 2 INVOICE MUST COINCIDE WITH LINE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS FOR SUBMITTING INVOICES ARE ATTACHED
NOTE 4 CONTRACTOR SHAlL ALLOW TIlE GOVT 30 DAYS FROM DEUVERY TO INSPECT '" ACCEPT
NOTES CONTRACTOR AGREES TO INVOICE NO LESS mAN 30 DAYS AFreR DEUVERY
NOTE 6 l2.246-2INSPECTON OF SUPPUES • FIXED PRICE

21. ORDERED BY (NAME AND TITLE) 22. FOR INQUIRIES CALL 23. FOB POINT 24. DISCOUNT TERMS
PAMILLER 301-763-3547 DESTIN 0% in o net 30
PURCHSGAGT $15,000.00
26. CONTRACTINGIORDERING OffiCER SIGNATURE 27. DATE SIGNED
L A CATTERTON 1011312000 N/A
30. SHIP TO (INCLUDE ON SlUPPING LABEL) 31. ISSUING OffiCE (DO NOT SmP OR BIU TO TInS ADDRESS)
OBLlG-200 1-40295-0-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUlSmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Attn: E M CAGLE
SUITLAND, MD 20746 SUITLAND MD 20746

Phone:
 ForH CD-404-EF (09-97) 1. ORDER NUMBER
• 11. S. DEPARrHEIft OF COMMERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-I40295
(COlftlIlUA%IOII SBEET)

132. SUPPLlEll 33. WUlNG omCE 5. ORDER DATE 18. DATE PRIN1l!D
PAGI! 2 OF 2
LLOYD WOLF BUREAU OF TIlE CENSUS 1011312000 I 0211012005
34. 35. 36. 37. • 38. 39. 40. 41.
UNI! MOL QTY QTY FINAL FULL ACCOUNTING CLASSlFICAll0N DIST% AMOUNT
ITEM RI!CVD
1 1 1 040200000-000 21 10-02-07-000 11-04-0009-00-00-00-oo 25-20-04-00 00000o 100% 15.000.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SlDP TO ADDRESS
LINI! MOL QTY RECBMNG (INC1UD1! RI!FI!RI!NCE ORDEll NO. UNI! MOL QTY RECIlIVING (IN<1UD1! Rlll'BRIlNCE ORDER NO.
I11!M omCECODB ON SHIPPING LABEL) ITEM OFFICI! CODB ON SHIPPING LABEL)

47. 48. 49. SO.

UNI! REQUlSmON NUMBER REQIJISmON DESCRIPTION REQIJISI110NER INFORMATION
ITEM

20242·0 Pblogrnphic Services (FY 0 I) PH DUNfON (W)301-763-2806 LaC: FB 3 Rm: 2705

_""llo:llIL.. 5
_I._TYP_E_S_IUP_ME_NT _ _S_IG_N_A_TURE
+-52._REC_EIPT _ _.t_llTI.E --1~S-3._RE_CE-Il'T_D-A-TE----_l

ACCEPTANCE: I CBRllFYTIlAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNAnJRE.t TITI.E 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPI.YlNG
WIlli nus ORDER, AS OF llII! DATE SHOWN.