Print Order Form 2511 DEPARTMENT OR GOVERNMENT ESTABLISHMENT

PUBLICATION TITLE

CONTRACTOR

BILLING ADDRESS CODE (BAC) *

PURCHASE CARD NO. (Info to Appear on GPO Copy Only)

PHONE NO. OF CARDHOLDER

LINE OF ACCOUNTING/DOCUMENT REFERENCE NUMBER (Info Will Appear on IPAC as Entered)

OTHER GOVT. FURNISHED MATERIALS

COVER PAPER COLOR OF COVER INKS

TEXT PAPER COLOR OF TEXT INKS

FOLD-IN PAPER COLOR OF FOLD-IN INKS

STITCH

PAD/SETS

DELIVER PRODUCT TO: RETURN FURNISHED MATERIALS TO:

ADDITIONAL SHIPPING INSTRUCTIONS FOR GPO COPIES US Government Printing Office, Documents Warehouse

8660 Cherry Lane, Laurel, MD 20707

FOR ADDITIONAL INFORMATION CONTACT: PHONE NO.

AUTHORIZING SIGNATURE (must be on file with GPO) DATE SENT TO CONTRACTOR NOT FOR CONTRACTOR SPECIFICATIONS DELIVERY ADDITIONAL INFORMATION

One Side

Only

Head to 

Head

Head to 

Foot

REQ. NO. *

DATE PREPARED ESTIMATE (For GPO Use Only) OBJECT CLASS

JACKET NO. * PROGRAM NO. * PRINT ORDER NO. *

PURCHASE ORDER NO. * STATE CODE * CONTRACTOR’S CODE * SHIP/DELIVERY DATE *

Supplemental Information Attached

EMAIL

TITLE

QUALITY 

LEVEL

DAYS DEPT. WILL 

HOLD PROOFS

QUANTITY (unit of finished product)

TRIM SIZE

COVER COATING TYPE

TEXT COATING TYPE

NO. OF FOLD-INS

INDICATE WHICH COVERS PRINT

NUMBER OF 

TEXT PAGES

THIS FORM MUST BE FURNISHED TO GPO UPON SUBMISSION TO CONTRACTOR. APRIL 2010

 US Government Printing Office

(Use this Federal Depository Library Program

address to Mail Stop: FDLP

send one 44 H St., NW, Loading Dock

copy) Washington, DC 20401

Item No. 

 Library of Congress

 (QTY) US/Anglo Division

U.S. Government Documents Section

101 Independence Ave., SE

Washington, DC 20540-4274

Marked: Depository File Copies

 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.)

SCORE

PERFORATE

BAND UNITS OF 

SHRINK WRAP UNITS OF 

ULC SIDE SADDLE

PACK QTY PER CONTAINER 

SUITABLE

PALLETS 

REQUIRED

COMB COIL PERFECT BOUND SEW TAPE TRIM 4 SIDES OTHER

x

x

TREASURY ACCT. SYMBOL (TAS)

EXP. DATE NAME AS IT APPEARS ON PURCHASE CARD

EMAIL OF PURCHASE CARDHOLDER

1 2 3 4

PROOFS

Electronic 

Soft Proof

Inkjet

(QTY)

Content

(QTY)

Pay by 

Purchase 

Card

High Resolution

(QTY)

Prior to Production Samples

(QTY)

PRINT

SIZE OF FOLD-INS

(Position) (Sheets in Pad) (Sets in Pad) (Sheets in Set) (Chipboard Required)

PRESS SHEET INSPECTION

 No. of Hours Notice 

PAPER COVERS

 (Self) (Separate)

PREVIOUS EDITION NOT USABLE

AGENCY LOCATION CODE (ALC) APPROPRIATION CHARGEABLE/OBLIGATION NO.

BINDING

DRILL ROUND HOLES INCHES IN DIAM. ON SIDE IN. CTR TO CTR.

OR CENTER OF HOLES INCHES FROM EDGE OF SHEET

Digital Deliverables Requested - Format: Native PDF

* Required Fields

You are hereby authorized to manufacture and ship the following described 

product in accordance with the purchase order and specifications indicated.

FURNISHED ELECTRONIC MEDIA

 Files to be sent via FTP or Email CD/DVD 

(QTY)

Distribution List Attached

 US Government Printing Office

 (QTY) International Exchange Service (IES)

Document Warehouse 

8660 Cherry Lane

Laurel, MD 20707-4986

 US Government Printing Office 

(Use this Federal Depository Library Program (FDLP)

address to Document Warehouse

send entire 8660 Cherry Lane

shipment) Laurel, MD 20707-4986

Item No. 
REQ. NO. JACKET NO. PROGRAM NO. PRINT ORDER NO. 

CONTRACTOR PURCHASE ORDER NO. STATE CODE CONTRACTOR’S CODE

Print Order Form 2511

ADDITIONAL INFORMATION

APRIL 2010

BILLING ADDRESS CODE (BAC)

Supplemental Instructions PAGE 2

PUBLICATION TITLE

DEPARTMENT OR GOVERNMENT ESTABLISHMENT
 ADDENDUM SHEET

Program # IES Count Print Order # 

ITEM NO MAIL CLASS NUMBER Pages Titles Fiche Sets Diazos Count

 

 

 

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