HomeMy WebLinkAbout20050513.tiff CVA.2e (REV.Feb.6,04 FCC)
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COLORADO DEPARTMENT OF MILITARY AND VETERANS AFFAIRS
DIVISION OF VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER'S MONTHLY REPORT
AND CERTIFICATION OF PAY
Weld COUNTY MONTH January, 2005
TELEPHONE CALLS 138 MIL. RECORDS REQUEST(SF-180) 6
PUBLIC CONTACTS (OFFICE) 172 COMPENSATION 7
,PUBLIC CONTACTS (HOME) 2 DIC
LETTERS WRITTEN 13 PENSION 3
21-22-COLO VETERANS AFFAIRS 2 DEATH PENSION 1
21-22-OTHER ORGANIZATIONS 15 INSURANCE 1
MEDICAID CASES 4 BURIAL ALLOWANCE 5
LOAN GUARANTY 3 VOC. REHAB &EDUCATION 3
MEDICAL BENEFIT CLAIMS El State other activities: MISC. 49
STATE BENEFIT CLAIMS 3
I hereby certify that on this date February 7. 2005 , I have been paid a salary for the month of
January 20,0,5_from Weld County in the amount of $3,634.26oilars for my services as
county veterans officer, and in addition,that $614.50+utildoilarshave been disbursed by said county
for expenses incurred in the operation of the county veterans service office, in ccordance with 28-5-707,
2002 Colorado Revised Statutes.
I hereby certify the accuracy of this Report.
it Dorothy Strong Veterans Cou elor
(Signed) —1 ` �vl County cam i loner or their desi ee of
Weld rLI . 4 7005
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
28-5404 Colorado Revised Statutes.
This form should be submitted before the 15th of the following month.
Mall to: Colorado Department of Military and Veterans Affairs
Division of Military Affairs
789 Sherman Street,Suite 280, Denver,CO 80203;
y
✓4 0001
-. 2005-0513
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CVA,2e 'REV.Fob.e,04 Pcch
COLORADO DEPARTMENT OF MILITARY AND VETERANS AFFAIRS
DIVISION OF VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER'S MONTHLY REPORT
AND CERTIFICATION OF PAY
Weld COUNTY MONTH December, 2004
TELEPHONE CALLS 142 MIL. RECORDS REQUEST(SF-180) 7
PUBLIC CONTACTS (OFFICE) 168 COMPENSATION 9
,PUBLIC CONTACTS (HOME) 2 DIC
LETTERS WRITTEN 15 PENSION 2
21-22-COLO VETERANS AFFAIRS 2 DEATH PENSION 1
21-22-OTHER ORGANIZATIONS 11 INSURANCE
2
MEDICAID CASES 3 BURIAL ALLOWANCE 4
LOAN GUARANTY 2 VOC. REHAB &EDUCATION 2
MEDICAL BENEFIT CLAIMS Oil State other activities: 41
STATE BENEFIT CLAIMS 2
I hereby certify that on this date February 7. 2005 , I have been paid a salary for the month of
December 20 r from Weld County In the amount of $3,523.28ioilars for my services as
county veterans officer; and in addition,that $401 .04+uti 1 dollars have been disbursed by said county
for expenses incurred in the operation of the county veterans service office, in ccordance with 28-5-707,
2002 Colorado Revised Statutes.
I hereby certify the accuracy of this Report GG
Dorothy Strong Veterans Couns for
(Signed) County Comm loner or their deli ee of
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
28-5404 Colorado Revised Statutes.
This form should be submitted before the 15th of the following month.
Mail to: Colorado Department of Military and Veterans Affairs
Division of Military Affairs
- 789 Sherman Street,Suite 260, Denver,CO 80203:
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