Print Order Form 2511 DEPARTMENT OR GOVERNMENT ESTABLISHMENT

PUBLICATION TITLE

CONTRACTOR

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 Publishing Office, Documents Warehouse 

8660 Cherry Lane, Laurel, MD 20707

FOR ADDITIONAL INFORMATION CONTACT: PHONE NO.

AUTHORIZING SIGNATURE DATE SENT TO 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

JUNE 2022

US Government Publishing 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) U.S. Serials and Government 

Documents Section

US/Anglo Division

101 Independence Ave., SE, Stop 4276

Washington, DC 20540-4276

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

1 2 3 4

PROOFS

Electronic 

Soft Proof

Inkjet

(QTY)

Content

(QTY)

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)

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 Publishing Office

 (QTY) International Exchange Service (IES)

Document Warehouse 

8660 Cherry Lane

Laurel, MD 20707-4986

US Government Publishing Office 

(Use this Federal Depository Library Program (FDLP)

address to Document Warehouse

send entire 8660 Cherry Lane

shipment) Laurel, MD 20707-4986

Item No. 

PURCHASE CARD NO. (Info to appear on GPO copy only)

BILLING INFO

AGENCY LOCATION CODE (ALC)

EXP. DATE NAME AS IT APPEARS ON PURCHASE CARD

BILLING ADDRESS CODE (BAC) * APPROPRIATION CHARGEABLE/OBLIGATION NO.

PURCHASE

CARD

LINE OF ACCOUNTING/DOCUMENT REFERENCE NUMBER 

(Info Will Appear on IPAC as Entered)

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*

G-INVOICING (GINV) GTC# ** GINV ORDER# ** ORDER LINE# ** ORDER SCHEDULE# **

**Must use number as generated by G-Invoicing system

I certify that I am an authorized agency representative of the above-mentioned Government establishment with authority to submit this order to the U.S. Government Publishing Office and obligate 

its funding in compliance with applicable regulations, and; this work is authorized by law and necessary to the conduct of the business of the above-mentioned Government establishment.

THIS FORM MUST BE FURNISHED TO GPO UPON SUBMISSION TO CONTRACTOR.
Print Order Form 2511 DEPARTMENT OR GOVERNMENT ESTABLISHMENT

CONTRACTOR

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 *

* Required Fields

You are hereby authorized to manufacture and ship the following described 

product in accordance with the purchase order and specifications indicated.

JUNE 2022

ADDITIONAL INFORMATION

PUBLICATION TITLE

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