HomeMy WebLinkAbout930198.tiff CVA-26 (REV. 02/92)
COLORADO DEPARTMENT OF SOCIAL SERVICES - DIVISION OF VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER'S MONTHLY REPORT AND CERTIFICATION OF PAY
Weld COUNTY MONTH January 19 93
BENEFITS AND SERVICES CLAIMED NO. BENEFITS ',AND SERVICES CLAIMED NO.
TELEPHONE CALLS 185 MISCELLANEOUS 53
302 246
PERSONAL CONTACTS (OFFICE) COMPENSATION
PERSONAL CONTACTS (HOME) 3 DIC 48
21-22 - COLO VETERANS AFFAIRS 8 PENSION 291
21-22 - OTHER ORGANIZATIONS 3 DEATH PENSION 242
MEDICAID CASES 34 INSURANCE 2
LOAN APPLICATIONS 4 BURIAL ALLOWANCE 3
MEDICAL BENEFITS 17 VOC. REHAB & EDUCATION 4
STATE BENEFITS 3
I hereby certify that on this date 2-18-93 , I have been paid a
salary for the month of January 19 93 from Weld
County in the amount of $2,107.43 dollars for my services as county
veterans officer; and, in addition, that $117.33 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. (2.
I hereby c tify the accurac o this Report. ' ''` 2C�
Do t y Strong ,)/eterans Couns for
(Signed � i ounty Commissioner or th€ir designee of
ca/ /q3
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
I/Abb01 Sherman Street, 1st Floor, Denver, CO 80203-1714.
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