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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
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)
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.