Form Bls 473-P - Information For The Producer Price Index - U.s. Department Of Labor

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INFORMATION FOR THE PRODUCER PRICE INDEX
201406 RC: 123456789
IC: 333111G11A01 NAICS: 333111
BLS 473-P
OMB NUMBER 1220-0008
1. Instructions: C
omplete the form and fax to (888) 666-6652 or return to U.S. Department of Labor, Bureau of Labor Statistics,
Code 47, Washington, DC 20212. For assistance, contact Joe Analyst at (202) 555-5555 or Analyst.J@bls.gov.
Yes
No
If Yes, please
2. Have the Description, Adjustments to Price, or Terms of Transaction changed?
update below
Previously Reported Overhead and Profit Percentage was: 12%
Current Overhead and Profit Percentage (if changed): ______________
Description of Construction Job: Slab on grade, 7' thick, light industrial, reinforced.
Assembly
6789XYZ
Estimated average material cost:
$55,555.55
Estimated average installation cost:
$55,555.55
Estimated average total cost:
$111,111.11
OH&P percentage:
12.00%
Total (including OH&P)
$155,555.55
***Continued on next page****
Adjustments to Price
Terms of Transaction
the
Reflected in
Type of Sale:
Market Sale
Type of Discount
Value/Terms
price below?
Domestic buyer
Competitive
None currently
No
Domestic\Foreign Buyer:
Other
Type of Buyer:
Type of Surcharge
Value/Terms
Contract Terms:
Not applicable
Surcharge
None currently
No
Size of Shipment:
Not applicable
Other
Unit of Measure:
FOB Factory
Freight:
Yes
No
If yes, please
3. Are there any updates to the Previously Reported Prices?
update below.
,
,
.
$130,676.6200
March 11, 2014
,
,
.
$130,676.6200
April 15, 2014
,
,
.
$130,676.6200
May 13, 2014
,
,
.
$130,676.6200
June 10, 2014
Yes No
If yes, please
4. Has the price changed between May 13, 2014 and June 10, 2014?
update below.
Other
Per:
$
,
,
.
Overhead and profit percentage
Type of Price:
cents
5. Please provide the reason(s) for any significant price changes and/or any other remarks.
Please review your current contact information and make corrections in Section 5.
63159
333111G11A01
02214
000WMP
JOHN DOE
COMMERCIAL SALES REP
Phone:
(321) 555-1234 x123
ABCDEF FAKE NAME CORPORATION
Fax:
(321) 555-4321
1234 MAIN STREET
Email:
WASHINGTON DC 00000

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