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FORM CD-404-EF (09-971

U.S. DEPARTMENT OF COMMERCE


I SUPPLY, EQUIPMENT OR SERVICE ORDER ~=~
~ 1.0RDERNUMBER
43-YA-BC-599029
I-------r---.....I. - -__"'T"----r----T--:--......__.......~"":':'~~----~inquiriesto

2. CONTRACT ORDERED AGAINST ]. PURCHASE 4. DEUVERY S. ORDER DATE. SOURCE the


PAGE 1 OF 2 Specific Provisions Apply ORDER ORDER Procurement 7. SUB IS. DATE PRINTED
NONE X 01/1412005 Oflice. NONE I 0211012005
9. SUPPLIER'S ADDRESS 58473 110. 1099 TAX: NONE This Refereoce Order 12. BRJ.JNG ADDRESS
No. ~ REFERENCE ORDER NO.: OBLIG-2oo5-99029-D-D
GLOBAL PHOTO ASSOClATES INC III.EMPLOYERI.D.~ must appear on aD
1075 PARK AVE BUREAU OF THE CENSUS
NEW YORK NY 10128
13. CONTACT:
JOHN WAGMAN
b4 invoices atld
padcages. Freight
ebargeover $100
requires a BiD of
FINANCE DMSION
ROOM 3546, BUll..DING 3
Lading.
Il. TEL: 917-491-0555
WASHINGTON DC 20233-4400
I3b. FAX: 211-426-3815

K I~ 16. 17. 18. 19. 20.


LINE DESCRIPTION DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

I CONfRACTOR TO PROVIDE PHOTOORAPHY SERVICES TO 1213112005 m 7,500.0000 7,500.00


INCLUDE: INDIVIDUAL PHOTOGRAPHERS AND SERVICE
FAClllllES PROVIDING SUPPLIES, LOCATION PHOTOGRAPHY
AND DIRECTION, PHOTOGRAPHY PROCESSING AND
DELIVERY. INCLUDES OTHER DIRECT COSTS.

PERIOD OF PERFORMANCE: JANUARY 1,2005 THROUGH


DECEMBER 31, 2005

TASK MANAGER: TOM WEBSTER - 301-763-3053


ALT. TASK MANAGER: MIKE MORGAN - 301-763-3045

U.S. DEPARTMENT OF COMMERCE - TERMS AND CONDITIONS


The followiog terms and conditions as weD as any 00 attached sheets, apply when this documeot is used as a purchase order. If Ibis documeoc is used as a delivery order, ir is subject 10 the terms and conditions of
the conmct referenced in Block 112 of the order. 52.252-2 Cia..... incorporated by Refer.".. (Apr 84~ This contract incorporates the foDowing clauses by reference, with the same force and effect as if !bey were
given in fun text. Upon rcques~ the Co_iDa Officer waf make fuO text available.

NOTE: FUlL TEXT CLAUSES ARE AVAJLABLE AT HTTP://WWW.ARNET.GOVIFARIFARQUERYFRAME.HTML


NOTE 2 INVOICE MUST COINCIDE W1m UNE ITEMS ON PURCHASE ORDER
NOTE 3 INSTRUCTIONS RlR SUBMlTIlNG 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]O DAYS AFTER DEUVERY
NOTE 6 S2.246-2INSPECTON OF SUPPLIES - FIXED PRICE

21. ORDERED BY (NAME AND lITLE)


PAMILLER
PURCHSGAGT $7,500.00
26. CONTRACTlNGIORDERING omCER SIGNATURE f 127. DATE SIGNED 12S. PROMPT PAYMENT 129. SHIP ViA
LA VANCE 0111412005 I Y N/A
]0. SHIP TO (INCLUDE ON SHIPPING LABEL) 31. ISSUING omCE (DO NOT SHIP OR Bill TO nus ADDRESS)
OBLIG-2005-99029-0-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM I203A, FOB 4 ACQillSmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Attn: M S MORGAN
SunLAND, MD 20746 SUITLAND MD 20746

Phone:
FORM CD-404-EF (09-971 \, ORD!'!R NUMBER
• U. S. DEPAR'l'MENT OF COMMERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-599029
IcPHTlHU1<TIOli SIIEET)

131. SUPPUER 33. ISSUING OFFICE 5. ORDER DATE 18. DATP. PRINTED
PAGE 2 OF
I GLOBAL PHOTO ASSOCIATES INC 1 BUREAU OF TIlE CENSUS 0111412005 I 02/1012005
)4. 35. 36. 37. 38. 39. 40. 41.
UNE MOL QTY QTY FINAL FIJI.L ACCOUNTING CLASSIFICATION mST% AMOUNT
ITEM RECVD

040200000-00021 10-02-07-000 11-04-0009-00-00-00-00 25-20-04-00 000000 100% 7.500,00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
UNE MOL QTY RECEIVJNG (iNCLUDE REFI!llENCE ORDER NO. LINI! MOL QTY RECI!IVlNG (INCLUDE RE1'ERENCE ORDER NO.
ITEM OFFICE CODE ON SHIPPING LABEL) ITEM OFFICE CODE ON SHIPPING LABEL)

47. 48. 49. 50.


UNE REQUISITION NUMBER REQUISITION DESCRIPTION REQUISITIONER INFORMATION
ITEM

39609-0 Renewal ofPO# YAI323-04-SE-0396 PH DUNfON (W)301-763-2806 Loc: FB 3 Rrn: 2705

52. RECEIPT SIGNATURE &: TITLE 53. RECEIPT DATE

ACCEPTANCE: I CERTIFY lllAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATURE &: TITLE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED. INSPECl'ED AND ACCEPTED AS COMPLYING
WIllI nus ORDER, AS OF TIlE DATE SHOWN.

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