Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/4/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Criminal Investigations Division
5) Department Contact: Hargrove 5245
6) Description: Investigations System
7) PEID No: 716169
8) Req No: N/A
9) Orgkey: 1101211121
10) Object Code: 5481000
11) Vendor: Leads Online LLC
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name:
14) Fund #:
15) Current Year Budgeted: $18,208.00
16) Current Year Projected: $18,208.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 11/1/2024
23) Auto Renewal Contract: Yes
24) Bid No: NA
25) Contract End Date: 10/31/2025
26) Contract # Issued by Purchasing Department: CM20053
NOTES: HB1295 on file