HomeMy WebLinkAbout910289.tiff CVA-26 REV. 10/88
COLORADO DEPARTMENT OF SOCIAL SERVICES - DIVISION OF VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER'S MONTHLY REPORT AND CERTIFICATION OF PAY
Weld COUNTY MONTH February 1991
BENEFITS AND SERVIES CLAIMED NO. BENEFITS AND SERVICES CLAIMED NO.
Telephone Calls 222 Compensation 211
Personal Contacts (Office) 376 DIC 43
Personal Contacts (Home) 11 Pension 218
23-22 - Colo Veterans Affairs 2 Death Pension 181
23-22 - Other Organizations 3 Insurance 4
Medicaid Cases 19 Burial Allowance 8
Loan Applications 6 Voc. Rehab & Education 2
Medical Benefits 23
State Benefits 2
I hereby certify that on this date 3-7-91 , I have been paid a salary
for the month of February 19 91 from Weld
County in the amount of $1900.08 dollars for my services as county
veterans service officer; and, in addition, that $485.72 dollars have been
disbursed by said county for expenses incurred in the operation of the county
veterans service office, in accordance with 26-10-108, 1973 Colorado Revised
Statutes.
I hereby certify a accuracy of this Report.
(Signed)). County Commissioner or their designee
of County
This certification submitted monthly, properly signed and executed, will be
considered as application for the monetary benefits payable 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 Social Services , Division of Veterans Affairs , 1575
Sherman Street, 1st Floor, Denver, CO 80203-1714.
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