DHS, FEMA and Dept. of State: Failure of Hurricane Relief Efforts: 05-24-2000 Order Number 43-YA-BC-033907
DHS, FEMA and Dept. of State: Failure of Hurricane Relief Efforts: 05-24-2000 Order Number 43-YA-BC-033907
FORI!
CD-404-EF (09-971
U.8. DEPARTl<EIIT OF COllHERCE
I SUPPLY, EQUIPMENT OR SERVICE ORDER ~=~
... I.ORDI!RNUMBI!R
43-YA-BC-033907
1------,.-__-~-----_r_---"T"""-.....:.·__r-.-;--_r_==----_1inqulrieslO
2. CONTRACT ORDERED AGAINST 3. PURCHASE 4. DEUVEIlY 5. ORDI!R DATE 6. SOURCE the
PAGE 1 OF 2 Specific Provisions Apply ORDER ORDER Procurement 7. SUB 18. DATE PRINTED
NONE X 0512412000 Office. NONE I 0211012005
9. SUPPUER'S ADDRESS 57109 :10. 1099 TAX: MISe ~ 12. BILLING ADDRESS
This Rt:fer......
~
No. ~ REFERENCE ORDER NO.: OBLIG-2000-33907-O-O
VISUAL EDGE PRODUCTIONS
10516 SUMMIT AVE STE 202 11I. EMPLOYI!R I.D. mUll lIflIl'U DD 011
iDvoicesand BUREAU OF TIlE CENSUS
13 CONTACT' pockases. Freigbt FINANCE DMSION
. .
charge """' SIOO
KENSINGTON MD 20895 GONZALO A. ACCAME
requires a BiD of ROOM 3546, BUllDING 3
Uding.
13L TEL: 301-493-8515
WASHINGTON DC 20233-4400
I3b. FAX: 301-493-0543
14. 15. 16. 17. 18. 19. 20.
UNI! DESCRIPTION DEUVEIlY QUANTITY UNIT UNIT PRICE AMOUNT
ITI!M DATE ISSUE
PROVIDE TIIE FOLLOWING SERVICES FOR TIlE PERIOD MAY
16,2000 TIfROUGH SEPTEMBER 30, 2000
1 VIDEOTAPING SERVICES 0913012000 18 15,000.0000 15,000.00
U.s. DEPARTMENT OF COMMERCE - TERMS AND CONDmONS
The foDowin8 terms and conditiom as weD &SlID)' on attached sbeels, apply when Ibis docwnenI is used as a purchase order. If this document iI used as. deJivery order. it is subject to the terms and conditions of
the contract referenced in Block If2 of the order. 52.252-2 Clauses incorporated by Rt:fereace (Apr 84). This contract incolJ'O"'ta the IODowing cia..... by reference, with the same force and effect as if they were
givell in fulllext. Upon request, the ContJaeting Officer will make fuR text ...iIable.
NOll!: RJU TEXT CLAUSES ARE AVAILABLE AT HTJ1'JIWWW.ARNET.GOVIFARIFARQUERYFRAME.1ITML
NOTE 2 INVOICE MUST COINCIDE W1TIl UNE 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 TIlAN 30 DAYS AFTER DEUVEIlY
NOTE 6 52.246-2INSPECTON OF SUPPUES - FIXED PRICE
21. ORDERED BY (NAME AND 1lTLE) 22. FOR INQUIRIES CALL 23. FOB POINT 24. DISCOUNT TERMS
PAMlLLER 301-763-3547 DESTIN 0% in 0 net 30
PURCHSGAGT $15,000.00
26. CONTRACTING/ORDERING omCER SIGNATURE 27. DATE SIGNED 128.PROMPTPAYMENT 129.SHlPYlA
LA CATIERTON
1 05/2412000 I Y N/A
30. SHIP TO (INCLUDE ON SffiPPING LADEt) 31. ISSUING omCE (DO NOT SHIP OR BIll. TO TInS ADDRESS)
REFERENCE ORDER NO:OBLIG-20oo-33907-0-o
HOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUISmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD
4700 SILVER HlLL ROAD
Attn: E M CAGLE
SUITLAND, MD 20746
SUITLAND MD 20746
Phone:
FORM CD-404-EF (09-97) I. ORDER. NUMBER
O. B. DBPAR'!HENT OF COHHERCB
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC033907
(CONTIIltIA'I'IOIl BHEB,.)
Z OF
32. SUPPUBR 33. ISSUING omCE 5. ORDER. DATE 18. DATE PRINTED
PAGE
1 VISUAL EDGE PRODUCTIONS BUREAU OF TIlE CENSUS 05fl4flOoo I 02l10fl005
""14. 35. 36. 37. 38. 39. '10. 41.
UNI! MDL QTY QTY FINAL FULL ACCOUNTING CLASSIFICATION DlST% AMOUNT
ITEM RECVD
04 6741000-000 20 04-03-08-000 11-04-0009-00-00-00-00 25-20-04-00 000000 IOWA. 15.000.00
42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
UNE MDL QTY RECEIVING (lNCLUDB RBFBRBNCE ORDER. NO. UNI! MDL QTY RBC'EIVING (lNCLUDB RBFBRBNCE ORDER NO.
ITEM OmCECODI! ON SHIPPING LABEL) ITEM OFFICE CODE ON SIIIPPING LABEL)
41. 48. 49. 50.
UNE REQUISITION NUMBER REQlflSITION DESCRIPTION REQUlSlTIONER INFORMATION
ITEM
16469-0 Videotaping Servie<:s fur the period May 16,2000 through September PH DUNTON (W)301-763-2806 Loc: FB 3 Rm: 2705
_ il t" :ir",\[.i , li l!!I\I~ ...
... .. "II[;Lrs_I_.T_
YPE_SHlP_MENT
_ __ ...5_Z_.RE_C_ElPT
__ SI_GN_A_TIlRE
__ &_TI_TLE
S3
-t-_.RE_CE_IPT_D_A_TE -t
ACCEPTANCE: lCERTIFYTIlAT ARTIa.ES ANDIORSERVICES ANNOTATED 54. ACCEPTANCE SIGNATURE & TInE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
Wlm TInS ORDER, AS OF 1HE DATE SHOWN.
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