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contract-with-venntel — Part 01
Page 22
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15F06720F0000659 Page 1 of 10
ORDER FOR SUPPLIES OR SERVICES
IMPORTANT: Mark al) packages and papers with contract and/or order numbers.e
1. DATE OF ORDER
[2.CONTRACT NO.(#f any)
6. SHIP TO
02/13/2020
a. NAME OF CONSIGNEE
b7E
3.ORDERNO.
4. REQUISITION/REFERENCE NO.
SEE SCHEDULE
FEDERAL BUREAU OF INVESTIGATION.
b. STREET ADDRESS
NATIONAL ACQUISITION PROGRAMS UNIT
935 PENNSYLVANIA AVE, NW
a CITY
d.STATE
e.ZIP CODE
WASHINGTON,DC 20535-0001
t. SHIP VIA
7.TO
0.NAME OF CONTRACTOR
8. TYPE OF ORDER
a.PURCHASE
x
b7E
DELIVERY
Except
b. COMPANY NAME
billing instructions on the reverse,
for
DUNS: 957050883
REFERENCE YOUR:
Piease furnish the following on the
terms and conditions specified on both
instruclions coniained on this side
c. STREET ADDRESS
sides of this order and on the atiached
only of this form and is issuec subject
11111 SUNSET HILLS RD
to tho temns and conditions of the
sheel, i any, inciuding delivery as
above-numbered contract.
SUITE 200
indicated.
A13 p
e. STATE
t. ZiP CODE
b6
RESTON
VA
20190-5373
ATIN
BUILDING27958A
b7C
9.ACCOUNTING AND APPROPRIATION DATA
QUANTICO.VA22135
b7E
11.BUStNESS CLASSIFiCATtON (Check eppropnate box(es))
12. F.O.B. POINT
a. SMALL
b. OTHEr THAn SMALL
C.DISADVANTAGEDd.WOMEN-OWNED
.e. HuBZone
VETERAN-OWNED
ELIGIRI E UNDER THE WOSB PROGRAM
h.EOWOSB
13. Pi_ACE OF
14.GOVERNMENT B/L NO.
15. DELIVER TO F.O.B.POINT ON16.DISCOUNT TERMS
OR BEFORE (Date)
a. tNSPECTICN
b. ACCEPTANCE
b4
b7E
17. SCHEDULE (See reverse for Rejections)
.TEMNO
SUPPLES.OR SERVICES
QUANTITY
UNIT
UNIT-PRICE
AMOUNT
QUANTITY
ORDERED
ACCERTED
a
(c).
(e)
(9
0001
Firm Fixed Price
0000001
LA
b7E
VenntcI Portal for 1 uscr annual fec includes 12,000 qucries
per year
TAA Compliant
Refercnce quote
FBI POC
b6
PSC: D399
b7C
b7E
See Continuation Sheet(s
18.SHIPPING POINT
19.GROSS SHIPPING WEIGHT
20.INVOICE NO.
17(h] TOT.
21. MAIL INVOICE TO:
(Cont.
a.NAME
pages)
INSTRUCTIONS
ON
SUBMIT ALL INVOICES VIA EMAIL. TO CENTRAL_INVOICESFBI.GOV
b7E
REVERSE
d, STReet ADDRE$s (or P.O. Box)
17(t)
GRAND
c. City
d. STatE
c. ZIP CODE
TOTAL
22. UNITED STATES OF AMERICA
23. NAME [Typed)
b6
b7C
TITLE: CONTRACTING/ORDERING OFFICER
AUTHORIZED FOR LOCAL REPRODU
OpTIONAL FORM 347 (REV. 2/2012)
PREVIOUS EDITION NOT USABLE
PrescriedbyGSAFAR48CFR53.213
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