HomeMy WebLinkAbout20042557 CVA-26 (REV.Feb.6,04 PCC)
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 June, 2004
TELEPHONE CALLS 145 MIL. RECORDS REQUEST(SF-180) 24
PUBLIC CONTACTS (OFFICE) 189 COMPENSATION 6
PUBLIC CONTACTS (HOME) 28 DIC 0
LETTERS WRITTEN 21 PENSION fl
21-22-COLO VETERANS AFFAIRS 9 DEATH PENSION 2
21-22-OTHER ORGANIZATIONS 4 INSURANCE 1
MEDICAID CASES BURIAL ALLOWANCE
LOAN GUARANTY 4 VOC. REHAB &EDUCATION 1
MEDICAL BENEFIT CLAIMS 14 State other activities: Misc. 61
STATE BENEFIT CLAIMS -
I hereby certify that on this date August 18, 2004 , I have been paid a salary for the month of
June 20 04 from Weld County in the amount of $3>523.2dollars for my services as
county veterans officer, and in addition, that$423.38+utilidcilfais have been disbursed by said county
tor expenses incurred in the operation of the co veterans service office, in ace i dance with 28-5-707,
2002 Colorado Revised Statutes.
I hereby cert.' the accuracy of this Report. 2,7(
Y
SI ` �p—� Dorothy Strong Veterans Coun or
(Signed)) \W—� County Commis(/bner or their designe7o
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.
Mall to: Colorado Department of Military and Veterans Affairs
Division of Military Affairs
789 Sherman Street,Suite 260, Denver,CO 80203
o%-2s oLj t 2004-2557
001. Vii (e- -l._ . ..- . /
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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
x
Weld COUNTY MONTH July, 2004
TELEPHONE CALLS 139 MIL. RECORDS REQUEST(SF-180) 26
PUBLIC CONTACTS (OFFICE) MI COMPENSATION fl
,PUBLIC CONTACTS (HOME) 25 DIC 1
LETTERS WRITTEN 1 7 PENSION 4
21-22-COLO VETERANS AFFAIRS in DEATH PENSION
21-22.OTHER ORGANIZATIONS nil INSURANCE
MEDICAID CASES BURIAL ALLOWANCE
4 3
LOAN GUARANTY VOC. REHAB &EDUCATION
1
MEDICAL BENEFIT CLAIMS State other activities:
STATE BENEFIT CLAIMS 2
I hereby certify that on this date August 18, 2004
July , I have been paid a salary for the month of
Jul 20 °4 from Weld County in the amount of$3 971 glollars for my services as
county veterans officer, and in addition,thaf428.71+utillt Mrs have been disbursed by said county
for expenses incurred in the operation of the countrveterans service office, in a ordance with 28-5-707,
2002 Colorado Revised Statutes. / -
I hereby ce the accuracy of this Report u
iL�ti�---- Dorothy Strong eterans 'Counselor
(Signed) �IU CountyCom loner or their design 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 280, Denver,CO 80203:
7
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