FO:" CD-404~EF (09-97)

U.b. DEPAR'lHENT OF COHHE1ICE

I SUPPLY, EQUIPMENT OR SERVICE ORDER ~::~
..... 1.0RDERNUMBER
43-YA-BC-035993
I-------r---....J------~----"T""--.:..'___,-----.._-------_Iinqubiesto
2. CONTRACT ORDI!RBD AGAINST 3. PURCHASE 4. DEUVERY 5. ORDER DATE 16. SOURCE the
PAGE I OF 2 Specific Provisio.. Apply ORDER ORDER ProcurOlllOlll 7. SUB 18. DATE PRINTED
NONE X 07/1812000 Oflice. NONE 02/1012005
9. SUPPLIER'S ADDRESS S8S3S :10. 1099 TAX: MISC This Reference QnIcr 12. BIUJNG ADDRESS

~
DW} TELEVISION INC No. ~ REFERENCE ORDER NO.: OBLIG-2000-35993-o-o
II. EMPLOYER lD. must appear on aD
1730 RHODE ISLAND AVE NW 1 invoices and BUREAU OF THE CENSUS
bI J
o
o

STE 704 13. CONTACT: packages. Freight FINANCE DMSION

,. cbarg. over $100
WASHINGTON DC 20036 LYNN S1JU.IVAN requires a BiD of ROOM 3546, BUILDING 3
Lading.
13L TEL: 301-881-0007
WASHINGTON DC 20233-4400
13b. FAX: 140-209-0578

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

IJNE DESCRJPTION DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

PROVIDE THE FOLLOWING SERVICES FOR THE PERIOD JULY

14,2000 THROUGH SEPTEMBER 30, 2000

I VIDEO NEWS RELEASE DISTRIBUTION SERVICES 0913012000 1 18 15,000.0000 15,000.00

U.S. DEPAllTMJ:NT OF COMMERCE - TERMS AND CONDDlONS

The following terms and conditions as weD as any OR attached ~. apply when this document is used as a purchase order. If this document is used as a delivery order, it is subject 10 the terms and conditions of
the contract refereaced in BIocIt 112 of the order. 52.252-2 Clauses incorporated by Reference (Apr 84). This contract incorporales the foDowinE clauses by reference, with the same force and effect as if they wer.
Biven in lUll text Upon request, the Conlraclins Officer will make IUD le:lrt available.

NOTE: FUll TEXT CLAUSES ARE AVAILABLE AT HTIP:/IWWW.ARNET.GOVIFARIFARQUERYFRAME.HTML

NOTE 2 INVOICE MUST COINCIDE WITH LINE ITEMS ON PURCHASE ORDER

NOTE 3 INSTRUcnONS FOR SUBMITTING INVOICES ARE ATTACHED

NOTE 4 CONTRACTOR SHAlL ALLOW THE GOVT 30 DAYS FROM DELIVERY TO INSPECT" ACCEPT

NOTES CONTRACTOR AGREES TO INVOICE NO LESS THAN 30 DAYS AFTER DELIVERY

NOTE 6 52.246-2 INSPECTON OF SUPPLIES· AXED PRICE

21. ORDERED BY (NAME AND TInE) 22 FOR INQUIRlES CAlL 23. FOB POINT
PAMILLER 301-763-3547 DESTIN
PURCHSGAGT $15,000.00
26. CONTRACTING/ORDERING OFFICER SIGNATIJRE 27. DATE SIGNED 280 PROMPT PAYMENT 129. SIllP VIA
L A CATTERTON 1 07/1812000 Y N/A
1
30. SIllP TO (INCLUDE ON SIDPPING LABEL) J I. ISSUING OffiCE (DO NOT SIDP OR BILL TO TIllS ADDRESS)
REFERENCE ORDER NO.:OBLIG-20oo-35993-o-0
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUISITION BRANCH, ROOM G-312-3
4700 SILVER fllLL ROAD 4700 SILVER fllLL ROAD
Attn: EM CAGLE
SUITLAND, MD 20746 SUITLAND MD 20746

Phone:
FOiU1 CD-404-EF (09-911 I. ORDER NUMBER
U. S. DEPARTMEII'1' OF CONIERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-035993
(COftDlllATION BIIIlB'I'~

PAGE
32. SUPPUER 33. ISSUING omCB 5. ORDER DATE 18. DATE PRIN11ID
2 OF 2
1 OWl TELEVISION INC [ BUREAU OF TIlE CENSUS 07/1812000 I 02/1012005
34. 35. 36. 37. 38. 39. 40. 41.
UNE MDL QTY QTY FINAL FULL ACCOUNTING CLASSIFICATION DIST% AMOUNT
ITEM RECVD

04 6741000-00o 20 04-03-08-000 11-04-0009-OO-OO-OO-OO 25-20-04-00 000000 100% 15.000.00

42. 43. 44. 45. 46. SIDP TO ADI)IU!SS 42. 43. 44. 45. 46. SIDP TO ADDRESS
LINI! MOL QTY RECEIVING (INCLUDE IUi:Fl!RENCI! ORDER NO. IJNB MDL QTY RECEIVING (INCLUDE IU!FERENCB ORDER NO.
ITEM OmCBCODE ON SHIPPING LABEL) ITI!M OmCBCODE ON SHIPPING LABEL)

47. 48. 49. SO.

LINE REQUISITION NUMBER REQUISITION DESCRIPTION REQUISITIONER INFORMATION
IrnM

17753-0 Video News Release Distributioo Services fur the period July 14,1999 P H DUNTON (W)30 1-763-2806 Lac: FB 3 Rm: 2705

::i:::~llillll;_lllli:IIIIII:I:~1
52. RECEIPT SIGNAnJRE &: TITLE 53. RECEIPT DArn
51. TYPE SHIPMENT

ACCEPTANCE: I CERTIFY mAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATIJRE &: TITLE 55. ACCEPTANCE DArn
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WITH TIllS ORDER, AS OF THE DArn SHOWN.