HomeMy WebLinkAbout20021339.tiff evA-ze (REV.312000) a`
COLORADO DEPARTMENT OF HUMAN SERVICES
DIVISION OF •VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER'S MONTHLY REPORT
AND CERTIFICATION OF PAY
weld COUNTY MONTH January 2002
County Name Month report is for
45ENEFITE AND SEB.VIFES CLAIMEQ NO _ *ElEEi178R)tQ 6$R1fECER CLA1.ME* [i[(}
TELEPHONE CALLS 180 MIL. RECORDS REQUEST (SF-180) 9
PUBLIC CONTACTS (OFFICE) 253 COMPENSATION 4
PUBLIC CONTACTS (HOME) 2 DIC 0
LETTERS WRITTEN PENSION
30 2
21-22 - COLO VETERANS AFFAIRS 3 DEATH PENSION 1
21-22 - OTHER ORGANIZATIONS 4 INSURANCE 1
MEDICAID .CASES 7 BURIAL ALLOWANCE 3
LOAN GUARANTY 4 VOC. REHAB & EDUCATION 2
MEDICAL BENEFIT CLAIMS 51 MISCELLANEOUS 86
STATE BENEFIT CLAIMS I 2
2002
I hereby certify that on this date June 5, , 1 have been paid a salary for the
month of January 20 02 from Weld County In the amount of
$3,361.37 dollars for my services as county veterans officer; and In addition, that
$262. 14+utiliti9Poliars have been disbursed by said county for exp incurred in the
operation of the county veterans service office in accordance with 26-10-108, 1973 Colorado
Revised Statutes. /
I hereby certify the ace cy of this Report.
(Signed) lei , Dora y County Com Strong /ssioneraor their d slo' ee of
Glenn Vaad, Gha s, 06/10/2002)
Weld County
This certification submitted monthly, properly signed and executed, will be considered as
application for the monetary benefits to the County G I Fund, in accordance with
26-10-108, 1973 Colo Revised Statutes.
This form should be submitted before the 15th of the following month.
Mail to: Colorado Department of Human Services
Division of Veterans Affairs
789 Sherman Street, Suite 260
D , CO 80203.
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6YA-Ze (REV. 3/2000)
COLORADO DEPARTMENT OF HUMAN SERVICES
DIVISION OF VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER'S MONTHLY REPORT
AND CERTIFICATION OF PAY
Weld COUNTY MONTH February Y0 02
County Name Month report is for
:BENEFITS AND SERVICES CLAIMED ? NO. BENEFITS AND SERVICES.CLAIMED NO,
TELEPHONE CALLS 185 MIL. RECORDS REQUEST (SF-160) 6
PUBLIC CONTACTS (OFFICE) 247 COMPENSATION 3
PUBLIC CONTACTS (NOME) 4 DIC 0
LETTERS WRITTEN 32 PENSION 3
21-22 - COLO VETERANS AFFAIRS 2 DEATH PENSION 0
21-22 - OTHER ORGANIZATIONS INSURANCE
4 7
MEDICAIDD -CASES 10 BURIAL ALLOWANCE 4
LOAN GUARANTY VOC. REHAB & EDUCATION 1
5
MEDICAL BENEFIT CLAIMS 48 MISCELLANEOUS 80
STATE BENEFIT CLAIMS
I 2
I hereby certify that on this date June 5, 2002 , I have been paid a salary for the
month of February 20 02 from Weld County in the amount of
$3,361.37 dollars for my services as y veterans officer, and in addition, that
$262. 10+utilities dollars have been disbursed by said county for exp incurred in the
operation of the county veterans service offlee, in accordance with 26-10-1061 1973 Colorado
Revised Statutes.I hereby certify the accur�ftcy this Report ./10--3--62,006
(Signed)
g ) � Dorothy Strong o Counselor
81 osd d County Co ssioner or their des n e of
Glenn as , 6/1072002)
Weld County
This certification submitted monthly, properly signed and executed, will be considered as
application for the monetary benefits to the County General Fund, In accordance with
26-10-108, 1973 Colorado Revised S
This form should be submitted before the 15th of the following month.
Mall to: Colorado Department of Human Services
Division of Veterans Affairs
789 Sherman Street, Suite 260
Denver, CO 60203.
•
•.
evw-w.. tn.nv.
COLORADO DEPARTMENT OF HUMAN SERVICES
DIVISION OF VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER'S MONTHLY REPORT
AND CERTIFICATION OF PAY
Weld COUNTY MONTH March 282
County Name Month report is for
BEItEEITS AND SERVICES CLAIMED ' NO BENEFITS AND SERVICES CLAIMED- No
TELEPHONE CALLS 179 MIL. RECORDS REQUEST (SF-180) 5
PUBLIC CONTACTS (OFFICE) 239 COMPENSATION 4
PUBLIC CONTACTS (NOME) 3 DIC
LETTERS WRITTEN PENSION
40 2
21-22 - COLO VETERANS AFFAIRS 3 DEATH PENSION 1
21-22 - OTHER ORGANIZATIONS INSURANCE
4 1
MEDICAID CASES 8 BURIAL ALLOWANCE 5
LOAN GUARANTY VOC. REHAB & EDUCATION
6 2
MEDICAL BENEFIT CLAIMS 46 MISCELLANEOUS 87
STATE BENEFIT CLAIMS I 3
June 5, 2002
I hereby certify that on this date , I have been paid a salary for the
month of March 20 02 from Weld County In the amount of
$3,361.37 dollars for my services as county veterans officer, and in addition, that
$250.30+utilities dollars have been disbursed by said county for exp incurred In the
operation of the county veterans service office, In accordance with 26-10-108 1973 Colorado
Revised Statutes.
2 I hereby certify the ace aey this Report. I
Dorothy Strong / Veterans Counselp
(Signed) County Co issioner or their design of
Glenn as , air 2002)
Weld
County
This certification submitted monthly, properly signed and executed, will be considered as
application for the m ry benefits to the County General Fund, in accordance with
26-10-108, 1973 Colorado Revised Statutes.
This form should be submitted before the 15th of the following month.
Mail to: Colorado Department of Human Services
Division of Veterans Affairs
789 Sherman Street,Suite 260
D , CO 80203.
6vw-<e (KIM/. aiLuse)
COLORADO DEPARTMENT OF HUMAN SERVICES
DIVISION OF VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER'S MONTHLY REPORT
AND CERTIFICATION OF PAY
Weld COUNTY MONTH April 4002
County Name Month report is for
BENEFITS AND SERVICES CLAIMED NO • BENEFITS An SERVICES CLAIMED .NO. .,
TELEPHONE CALLS 183 MIL. RECORDS REQUEST (SF-100) 8
PUBLIC CONTACTS (OFFICE) 248 COMPENSATION 3
PUBLIC CONTACTS (HOME) 4 DIC 0
LETTERS WRITTEN 33 PENSION
3
21-22 - COLO VETERANS AFFAIRS 2 DEATH PENSION 6
21-22 - OTHER ORGANIZATIONS 4 INSURANCE
1
MEDICAID CASES 10 BURIAL ALLOWANCE 4
LOAN GUARANTY 5 VOC. REHAB IL EDUCATION
1
MEDICAL BENEFIT CLAIMS 45 MISCELLANEOUS 84
STATE BENEFIT CLAIMS 2
I hereby certify that on this date June 5, 2002 , I have been paid a salary for the
month of April 20 02 from Weld County In the amount of
$3.361.37 dollars for my services as county veterans officer and in addition, that
5647 47+iiti 11 t1 es dollars have been disbursed by said county for exp incurred In the operation of the
county veterans service office accordance with 26.10-100,f 73 Colorado
Revised Statutes.
I hereby certify the accu ay of this Report. ! -
Dorothy Strong eterans,Counselor
(Signed) Sal County Co issioner or their design a of
Glenn , 01. ] (06/I0/2602)
Lipid County
This certification submitted monthly, properly signed and executed, will be considered as
application for the monetary benefits to the County General Fund, In accordance with
26-10-106, 1973 Colorado Revised Statutes.
This form should he submitted before the 15th of the following month.
Mall to: Colorado Department of Human Services
Division of Veterans Affairs
729 Sherman Street, Suite 260
Denver, CO $0203.
cvA-ze 'REV. 31301140J
COLORADO DEPARTMENT OF HUMAN SERVICES
DIVISION OF VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER'S MONTHLY REPORT
AND CERTIFICATION OF PAY
Weld 02
COUNTY MONTH May 20
County Name Month report is for
BENEFITS AND SERVICES CLAIMED NNO. BENEFITS AND SERVICES CLAIMER NO...
TELEPHONE CALLS 187 MIL. RECORDS REQUEST (SF-160) 10
PUBLIC CONTACTS (OFFICE) 251 COMPENSATION 3
PUBLIC CONTACTS (HOME) 2 DIC 0
LETTERS WRITTEN 31 PENSION 2
21-22 - COLO VETERANS AFFAIRS 3 DEATH PENSION 1
21-22 - OTHER ORGANIZATIONS 3 INSURANCE
1
MEDICAID CASES 6 BURIAL ALLOWANCE 5
LOAN GUARANTY 4 VOC. REHAB & EDUCATION 2
MEDICAL BENEFIT CLAIMS 51 MISCELLANEOUS 87
STATE BENEFIT CLAIMS I 2
I hereby certify that on this date June 5, 2002 , I have been paid a salary for the
month of May 20 02 from Weld County in the amount of
$3,361.37 dollars for my services as county veterans officer and in addition, that
$269.23+utilities dollars have been disbursed by said county for exp incurred In the
operation of the county veterans service office, in accordance with 26-10-106,7,73 Colorado
Revised Statutes.
I hereby certify the a curacy of this Repo
or .ity Strong eterans Counselor
(Signed) County Co issioner or their desi e of
G el nn Vaa (06/10/2002)
Wel County
This certification submitted monthly, properly signed and executed, will be considered as
application for the monetary benefits to the County General Fund, In accordance with
26-10-106, 1973 Colorado Revised Statutes.
This form should be submitted before the 15th of the following month.
Mail to: Colorado Department of Human Services
Division of Veter Weirs
769 Sherman Street, Suite 260
' D , CO 60203.
. ' .
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