Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 3/11/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Professional Services
5) Department Contact: Sergio Cruz
6) Description: Transportation of Human Remains
7) PEID No: 704869
8) Req No: N/A
9) Orgkey: 1101440100
10) Object Code: 5412130
11) Vendor: Carnes Funeral Home
12) Vendor Contract No: CM24099
Expenditure Budget/Revenue Projections
13) Fund Name: General Fund
14) Fund #: 1101
15) Current Year Budgeted: $1,036,100
16) Current Year Projected: $201,075
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 2/19/2024
23) Auto Renewal Contract: No
24) Bid No: B242002
25) Contract End Date: 2/18/2025
26) Contract # Issued by Purchasing Department: CM240299
NOTES: HB1295 Requested