Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 8/5/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Sheriff’s Office
5) Department Contact: Clayton Pope
6) Description: Ballistic Recovery System
7) PEID No: 724350
8) Req No:
9) Orgkey: 2892-211101
10) Object Code: 5700000
11) Vendor: CyberNational Inc.
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Sheriff Admin
14) Fund #: 2892-211101
15) Current Year Budgeted: $73,385.00
16) Current Year Projected: $73,385.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 8/29/2025
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 8/28/2026
26) Contract # Issued by Purchasing Department: 232442
NOTES: Sole Source - HB1295 Requested