-;'ORK CD-404-EF (09-91)

U.S. DEPARTHENr OF CCH<ERCE

I SUPPLY,~QUlPMENT OR SERVICE ORDER
......
UsothioOrdcr
Number for
I. ORDI!R.NUMBI!R.

43-YA-BC-372360
1-------,---:":----!-------.----~---r_----,..... -----__1iDquirieslo
2. CONT\lACT ORDERED AGAINST 3. PURCHASE 4. DEUVERY S. ORDI!R. DAll! 16. SOURCE the
.......
PAGE 1 OF 2 Specific ProvisioDi Apply ORDER ORDI!R. Procurement 7. SUB lB. DAll! PRINTED
NONE X 1110612002 0fIice. NONE 0211012005
9. SUPPUER'S ADDRESS 33309 :10. 1099 TAX: MJSC 11Iio Rdl:reDce l:!!der 12. BlUJNG ADDRESS

~
No. ~ REfERENCEORDl!R.NO.: OBLlG-2oo3-72360-o-o
MEDlALINK.
NATIONAL PRESS BUll..DING 111. EMPLOYl!R.I.D must appear on aD
tnwica end BUREAU OF TIIE CENSUS
529141HSTNWSTE 1230 13. CONTACT: podmgcs. Freighl FINANCE DMSION .
WASHINGTON DC 20045 dlarse over SIOO
JENNIFER MAXWELL requir... BiD of ROOM 3546. BUllDING 3
13•. TIlL: ZOU1I-3B88 LadinB·
WASHINGTON DC 20233-4400
Ilb. FAX: 20u18-2371

M I~ 16. 17. lB. 19. 20.

UNE DI!SCRIP110N DEUVERY QUANlTTY UNIT UNIT PRICE AMOUNT
ITBM DATE ISSUE

I CONTRACTOR TO PROVIDE BROADCAST DISTRIBUTION 1213112003 m 15,000.0000 15,000.00

SERVICES TO INCLUDE TIIE HARD COPY (TAPE AND DISC).
AND SATELLITE DISTRIBUTIN OF BROADCST VIDEO. RADIO
AND PHOTOORAPHY PROORAMS. INCLUDES OTIIER DIRECT
COSTS.

PERIOD OF PERFORMANCE: DATE OF AWARD lliROUGH

DECEMBER 31. 2003

TASK MANAGER: MIKE MORGAN 301-763-3045

ALTERNATE TASK MANAGER: TOM WEBSTER 301-763-3053

U.S. DEPARTMENT OF COMMERCE - TERMS AND CONDmONS

The following terms end conditions .. well .. any on attached ~. apply wIl<Il this doc.__ is ......... purchase order. If this docwnent is U5ed .. a de1iveIY order, it is subject to the terms and conditions of
the contrad Jderenced in BIod<.2 of the order. 52.152-2 CIa..... incorporated by ReferaK:e (Al"" 84). 11Iio contract incorporates the following c:Ia.... by refer<nce, with the same force and effect .. if they were
given in full text Upon request, the Contracting Officer wiU make full text available.

NOTE: FUlL TEXT et:AUSES ARE AVAILABLE AT 1ffTP:lIWWW.ARNET.GOVIFARlFARQUERYFRAME.HTML

NOTE 2 INVOICE MUST COINCIDE WITH UNE ITEMS ON PURCHASE ORDI!R.
NOTE 3 INSTRUCTIONS FOR SUBMrrI1NG INVOICES ARE ATTACHED
NOTE 4 CONTRACTOR SHAlL ALLOW TIlE GOVT 3D DAYS FROM DEllVERY TO INSPECT & ACCEPT
NOTES CONTRACTOR AGREES TO INVOICE NO LESS llIAN 30 DAYS AFTER DEUVERY
NOTE 6 S2.246-2INSPECTON OF SUPPLIES - FIXED PRICE

21. ORDERED BY (NAME AND nTLE) 22. FOR INQUIRIES CAlL 23. FOB POINT

PAMll..LER 301-763-3547 DESTIN

PURCHSGAGT $15,000.00
26. CONTRACllNGIORDERlNG OffiCER SIGNATURE 27. DATE SIGNED r28. PROMPT PAYMENT 129. S/llP VIA

LAVANCE 1 1110612002 I Y N/A

30. SHIP TO (INCLUDE ON SHIPPING LABEL) 31. ISSUING OffiCE (DO NOT S/llP OR BILL TO nus ADDRESS)
REFERENCE ORDER NO.: OBLIG-2oo3-72360-0-0
BOC MAIN RECEIVING DOCK BUREAU OF TIIE CENSUS
ROOM 1203A, FOB 4 ACQUISITION BRANCH, ROOM G-312-3
4700 SILVER HaL ROAD 4700 SILVER HILL ROAD
Attn: S B MASSIE
SUITLAND. MD 20746 SUITLAND MD 20746

Phone:
 ~
FORM CD-404-EF (09-97) I. ORDER NUMBER
U. S. DEPARTllElIT OF COMlIEI\CE
SUPPLY, EQUIPMENT OR SERVICE ORDER
lCOIftI1lla~IOII SIlElt~)
43-YA-BC·372360

PAGE 2 OF 1 131. SlJPPLII!R 33. ISSUING OmCE 5. ORDER DATE 18. DATI! PRINTED
MEDIALINK BUREAU OF TIlE CENSUS 1110612002 I 02/1012005
34. 35. 36. 37. 38. 39. 40. 41.
UNE MDL QTY QTY FINAL FUll ACCOUNTING a.ASSIPlCATION DIST% AMOUNT
ITEM RECVD
04 6210000-000 20 04-03-02-000 11-04-0009-00-00-00-00 25-20-04-00 000000 loo~ 15.000.00

41. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
LINE MDL QTY RECEIVING (INCLUDE REFl!Rl!NCE ORDER NO. LINE MDL QTY RECEIVING (lNCUJDE REFl!Rl!NCE ORDER NO.
J11!M OmCECODE ON SHIPPING LABEL) ITEM omCBCODE ON SlDPPING LABEL)

47. 48. 49. so.

UNE REQIJISmON NUMBER REQUISITION DESCRIPllON REQIJISmONER INFORMATION
ITEM

30642-0 'Renewal of PO #43-YABC-259594 S B MASSIE (W)301-763-3012 Loc: FB 3 Rm: 2720

·1!lflllr.III._""~\""::,:~""1~1!,",lr,,,:\ii""II\,",I\I,,,ltl;l..15_J._T"YP_E_SHIP_ME_NT +5_2._RE_C_ElPT
_ _S_IG_N_A_TIJRE
_ _&_TI_nE -If-5_3._RE_CElPT
_ _D_A_TE -l
ACCEPTANCE: 1 CER1lFY 11iAT AIlTICLES ANDIOR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATURE & TInE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYlNG
WIlli 11IIS ORDER, AS OF TIlE DATE SHOWN.