Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 9/23/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Sheriff’s Office Admin
5) Department Contact: Sheriff Henry Trochesset
6) Description: Analyst Agreement-Jeanne LaQue FY2025
7) PEID No: 717293
8) Req No:
9) Orgkey:
10) Object Code: 1101211101
11) Vendor: 5481000
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted:
16) Current Year Projected:
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 10/1/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 9/30/2025
26) Contract # Issued by Purchasing Department: CM24328
NOTES: HB1295 not required - Governmental agency/entity