DHS, FEMA and Dept. of State: Failure of Hurricane Relief Efforts: 10-14-1999 Order Number 43-YA-BC-019881
DHS, FEMA and Dept. of State: Failure of Hurricane Relief Efforts: 10-14-1999 Order Number 43-YA-BC-019881
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·FORHCD-404-EF 109-97)
U.S. DEPARTMENT OF COIlMERCE
I SUPPLY, EQUIPMENT OR SERVICE ORDER
use~der
Number for
I.ORDERNUMBER
43-YA-BC-019881
AIN-S-T.,...3-.-~-0iAS--E--r4-.-DELIVER---y'T":'5.-:0-:RD---ER--DA-TE--~.S::-::O~UR::'CE:::------1=uiriesto
r------""T-2.-CO-:-NlRA'-:"-CT..&.-O-RD-ERED--A-G..
PAGE 1 OF 2 Spccifio Provisions Apply ORDER ORDER Procurement 7. SUB lB. DATE PRINTED
NONE X 10/14/1999 Olli<.e. NONE I 02/1012005
9. SUPPUER'S ADDRESS 33549 :10. I099 TAX: NONE This Reference Order 12. BlllJNG ADDRESS
_ . ~ No. '~ REFERENCE ORDER NO.: OBLlG.2000-1988I-O-O
TELECLIP INC II. EMPLOYER I.D. must appear on IU
3601 S CONGRESS BLDG B STE 100 1
invoices and BUREAU OF THE CENSUS
13. CONTACT: b L.(
packages. Freight
clwgeom- SIOO
FINANCE DMSION
AUSTIN TX 78704 PURCHASING requires I Bm of ROOM 3546, Bun..DING 3
13L TEL: 511-851.8800 Lading.
WASHINGTON IX: 20233-4400
13b. FAX: 511-851-8507
U I~ 16. 17. lB. 19. 20.
UNB DESCRIPTION DELIVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE
I RENEWAL OF "OFF-AIR" BROADCAST SEGMENTS FOR THE 0913012000 18 15,000.0000 15,000.00
BUREAU OF THE CENSUS FOR THE PERIOD OCTOBER I, 1999
llfROUGH SEPTEMBER 30, 2000.
PREVIOUS PO #43YABC907097
u.s. DEPARTMENT OF COMMERCE - TERMS AND CONDmONS
The following terms and conditions .. well .. 1UIy on onached sheets, IPPIy when Ibis document is used as • purchase order. Iflhis document is used .. I delivery order, it is subject 10 the tenns and conditions of
the contract referenced in BIocIt M2 of the order. 52.252-2 Cla.... incorporated by Reference (Apr 84). This contract incorporate:llhe following cia.... by reference, witb the some force and effect IS if they were
given in fulilexl. Upon request, the Connoting 0fIicer will make full text l-.ailable.
NOTE: FULL TEXT ClAUSES ARE AVAILABLE AT HT11':/IWWW.ARNET.GOVIFARIFARQUERYFRAME.HTML
NOTE 2 INVOICE MUST COINCIDE WITH UNB ITEMS ON PURCHASE ORDER
NOTE 3 fNSTRUCIlONS FOR SUBMlTTfNG INVOICES ARE ATTAOIED
NOTE 4 CONlRACTOR SHAU. ALLOW THE GOVT 30 DAYS FROM DEUVERY TO fNSPECT &: ACCEPT
NOTE 5 CONlRACTOR AGREES TO fNVOICE NO LESS THAN 30 DAYS APTER DEUVERY
NOTE 6 52.246-2 fNSPECTON OF SUPPLIES - FIXED PRICE
21. ORDERED BY (NAME AND TITLE)
LAVANCE
SUPVY ~URCHSG AGT $15,000.00
26. CONlRACTlNGIORDERfNG OFFICER SIGNATURE 27. DATE SIGNED \2B. PROMPT PAYMENT 129. SHIP VIA
L A CATTERTON
1 10/14/1999 I Y N/A
30. SHIP TO (INCLUDE ON SIDPPfNG LABEL) 31. ISSUING OFFICE (DO NOT SHIP OR Bill. TO TInS ADDRESS)
OBLIG-2000-19881-0-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A, FOB 4 ACQUlSmON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Attn: EM CAGLE
SUITLAND, MD 20746
SUITLAND MD 20746
Phone:
FORM CD-404-EF (09-91) I. ORDER NUMBER
U.B. DBPARTMENT OF COHHBRCE SUPPLY, EQUIPMENT OR SERVICE ORDER 43.YA·BC-01988 1
(COlrnllUATION BRIT)
PAGE 132. SUPPUER 33. ISSUING OFFICE 5. ORDER DATE lB. DATE PRINTED
2 OF
TELECLIP INC BUREAU OF TIlE CENSUS 10/14/1999 I 02/1012005
34. 35. 36. 37. 3B. 39. 40. 41.
UNE MDL QTY QTY FINAL FULL ACCOUNTING CLASSIFICATION D1ST% AMOUNT
ITEM RECVD
046741000-000 20 04-03-08-000 11-04-0009-00-00-00-00 25-20-04-00 000000 100% 15.000.00
42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
UNI! MDL QTY RECEMNG (lNC1UOE REFEIlENCI! ORDER NO. UNE MDL QTY RECEMNG (lNC1UOE REFERENCE ORDER NO.
ITEM OFFICE CODE ON SHIPPING LABEL) ITEM OFFICE CODE ON SHIPPING LABEL)
47. 4B. 49. 50.
UNE REQUISITION NUMBER REQUISITION DESCRIPTION REQUISITIONER INFORMATION
ITEM
9441-0 "Off-air" Broadcast scgmcoIs (FY 2000) PH DUNTON (W)301-763-2806 Loc: FB 3 Rm: 2705
52. RECEIPT SIGNA11JRE &: TInE 53. RECEIPT DATE
ACCEPTANCE: I CERTIFY nlAT ARTIa.ES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATIJRE &: TITI.E 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED, INSPECTED AND ACCEPTED AS COMPLYING
WITH TInS ORDER, AS OF TIlE DATE SHOWN.
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