You are hereby authorized to manufacture and ship the following described
Print Order Form 2511
product in accordance with the purchase order and specifications indicated.
* Required Fields
DEPARTMENT OR GOVERNMENT ESTABLISHMENT
REQ. NO. *
JACKET NO. *
PROGRAM NO. * PRINT ORDER NO. *
PUBLICATION TITLE
DATE PREPARED ESTIMATE (For GPO Use Only) OBJECT CLASS
CONTRACTOR
PURCHASE ORDER NO. * STATE CODE *
CONTRACTOR’S CODE *
SHIP/DELIVERY DATE *
BILLING INFO
Component TAS/BETC
BILLING ADDRESS CODE (BAC) * AGENCY LOCATION CODE (ALC) APPROPRIATION CHARGEABLE/OBLIGATION NO.
PURCHASE
CARD
PURCHASE CARD NO.
(Info to appear on GPO copy only)
EXP. DATE
NAME AS IT APPEARS ON PURCHASE CARD
PHONE NO. OF CARDHOLDER
TAS*:
Sub-level
Prefix Code
Allocation
Transfer
Agency
Identifier
Agency
Identifier
Beginning
Period of
Availability
Ending
Period of
Availability
Availability
Type Code
Main
Account
Code
Sub-Account
Code
BETC*
LINE OF ACCOUNTING/DOCUMENT REFERENCE NUMBER
(Info Will Appear on IPAC as Entered)
SPECIFICATIONS
PROOFS
Content
Inkjet
High Resolution Prior to Production Samples Electronic
(QTY)
(QTY)
(QTY) (QT Y)
Soft Proof
DAYS DEPT. WILL
HOLD PROOFS
QUALITY
LEVEL
QUANTITY (unit of finished product)
FURNISHED ELECTRONIC MEDIA
Files to be sent via FTP or Email CD/DVD
(QTY)
OTHER GOVT. FURNISHED MATERIALS
PRESS SHEET INSPECTION
No. of Hours Notice
TRIM SIZE
x
COVER PAPER COLOR OF COVER INKS
COVER COATING TYPE
PAPER COVERS
(Self)
(Separate)
INDICATE WHICH COVERS PRINT
1 2 3 4
TEXT PAPER COLOR OF TEXT INKS
TEXT COATING TYPE
NUMBER OF
TEXT PAGES
PRINT
One Side Head to Head to
Only Head Foot
FOLD-IN PAPER COLOR OF FOLD-IN INKS
NO. OF FOLD-INS
SIZE OF FOLD-INS
x
STITCH
ULC SIDE SADDLE
BINDING
COMB COIL
PERFECT BOUND SEW
TAPE
TRIM 4 SIDES
OTHER
PERFORATE
SCORE
PAD/SETS
(Position)
(Sheets in Pad) (Sets in Pad) (Sheets in Set) (Chipboard Required)
DRILL ROUND HOLES INCHES IN DIAM. ON SIDE IN. CTR TO CTR.
CENTER OF HOLES INCHES FROM EDGE OF SHEET
BAND UNITS OF
SHRINK WRAP UNITS OF
PACK QTY PER CONTAINER
OR
SUITABLE
PALLETS
REQUIRED
ADDITIONAL INFORMATION
Supplemental Information Attached
DELIVERY
DELIVER PRODUCT TO:
Distribution List Attached
RETURN FURNISHED MATERIALS TO:
Digital Deliverables Requested - Format: Native PDF
ADDITIONAL SHIPPING INSTRUCTIONS FOR GPO COPIES
US Government Publishing Office
(Use this
Federal Depository Library Program
(QTY)
address to
Mail Stop: FDLP
send one
44 H St., NW, Loading Dock
copy)
Washington, DC 20401
Item No.
US Government Publishing Office
(Use this
Federal Depository Library Program (FDLP)
(QTY)
address to
Document Warehouse
send entire
8660 Cherry Lane
shipment)
Laurel, MD 20707-4986
Library of Congress
U.S. Serials and Government
Documents Section
US/Anglo Division
101 Independence Ave., SE, Stop 4276
Washington, DC 20540-4276
Marked: Depository File Copies
US Government Publishing Office
International Exchange Service (IES)
Document Warehouse
8660 Cherry Lane
Laurel, MD 20707-4986
Item No.
US Government Publishing Office, Documents Warehouse
8660 Cherry Lane, Laurel, MD 20707
Marked for “Sales” Req. No.
(QTY)
Marked for “Subscription Stock” Req. No.
(QTY)
Individual Printed Mailing Containers are Required
Stock No.
Sub. ID No.
ISBN No.
(Shipping labels for “Sales” or “Subscription” copies must contain
Stock No., Sub. ID No. and ISBN No. as indicated.)
FOR ADDITIONAL INFORMATION CONTACT:
EMAIL
PHONE NO.
AUTHORIZING SIGNATURE (must be on file with GPO)
TITLE
DATE SENT TO CONTRACTOR
THIS FORM MUST BE FURNISHED TO GPO UPON SUBMISSION TO CONTRACTOR.
AUGUST 2018
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signature
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