HomeMy WebLinkAbout930505.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 May 19 93
BENEFITS AND SERVICES CLAIMED NO. BENEFITS AND SERVICES CLAIMED NO,
TELEPHONE CALLS 170 MISCELLANEOUS 142
PERSONAL CONTACTS (OFFICE) 229 COMPENSATION 252
PERSONAL CONTACTS (HOME) 2 DIC -.
48
21-22 - COLO VETERANS AFFAIRS 3 PENSION 302
21-22 - OTHER ORGANIZATIONS 5 DEATH PENSION 252
1
MEDICAID CASES 24 INSURANCE
LOAN APPLICATIONS 9 BURIAL ALLOWANCE 2
15
MEDICAL BENEFITS VOC. REHAB & EDUCATION 2
STATE BENEFITS 2
I hereby certify that on this date June 7, 1993 , I have been paid a
salary for the month of May 19 93 from Weld
County in the amount of $2,107.41 dollars for my services as county
veterans officer; and, in addition, that $226.53 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 of this Report.
/4 X` Dorothy Strong Veterans Counselor
(Signed) " >2�72,2e, % O':?.1G!'-e/./ County COMM ssioner or their designee of
Weld 014/1/
pun y
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.
930505
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