HomeMy WebLinkAbout930252.tiff CVA-26 (REV. 02/92)
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COLORADO DEPARTMENT OF SOCIAL SERVICES `- DIVISION-OF VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER'S MONTHLY REPORT ANOACERTIFICATION OF PAY
Weld COUNTY MONTH CI,t."February 19 93
BENEFITS :AND SERVICES CLAIMED NO. BENEFITS AND SERVICES CLAIMED NO.
TELEPHONE CALLS 197 MISCELLANEOUS 51
289 248
PERSONAL CONTACTS (OFFICE) COMPENSATION
PERSONAL CONTACTS (HOME) 3 DIC 48
21-22 - COLO VETERANS AFFAIRS 4 PENSION 293
21-22 - OTHER ORGANIZATIONS 5 DEATH PENSION 7L4
MEDICAID CASES 32 INSURANCE 2
4
LOAN APPLICATIONS 5 BURIAL ALLOWANCE
4
MEDICAL BENEFITS 17 VOC. REHAB & EDUCATION
STATE BENEFITS 2
I hereby certify that on this date March 18, 1993 , I have been paid a
salary for the month of February 19 93 from Weld
County in the amount of $2,107.43 dollars for my services as county
veterans officer: and, in addition, that $120.57 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 the accuracy f this Report. �1/d � r�C
// Dorothy Strong / VeteranKCounselor
(Si gnedt c,? 1:4*7 144 County Commissioner or heir deli gneQof
03/apt/93
Weld 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.
930252
t/Annn VA, A
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