New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    010201               
      BERNE-KNOX-WESTERLO CSD            Municipal Code:   010706800100         
      1738 HELDERBERG TRL                Date of Payment:  Sept 2, 2008         
      BERNE, NY  12023-2926              Amount of Payment:        $64,582.00   
                                                                                
                                                                                
     2007-08 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $1,295,021.00        
 2. Total Aug State Share Medicaid Amount                      $2,886.00        
 3. Total Sept State Share Medicaid Amount                     $3,273.50        
 4. Total Oct State Share Medicaid Amount                        $525.00        
 5. Total Nov State Share Medicaid Amount                     $20,446.00        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $296,624.75 
 7. December Net Excess Cost Payment                                $296,624.75 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $1,295,021.00        
 9. Total Dec State Share Medicaid Amount                      $1,532.00        
10. Total Jan State Share Medicaid Amount                        $766.00        
11. Total Feb State Share Medicaid Amount                                       
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)    $580,461.45 
13. March Net Excess Cost Payment                                   $580,461.45 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $1,295,021.00        
15. Total Mar State Share Medicaid Amount                      $1,026.00        
16. Total Apr State Share Medicaid Amount                        $780.00        
17. Total May State Share Medicaid Amount                      $1,022.00        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $191,425.15 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $191,425.15 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $1,295,021.00        
24. Total June State Share Medicaid Amount                    $77,361.91        
25. Total July State Share Medicaid Amount                                      
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $116,891.24 
27. August Net Excess Cost Payment                                  $116,891.24 
                                                                                
28. TOTAL EXCESS COST AID                                  $1,359,603.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)      $64,582.00 
30. September Net Excess Cost Payment                                $64,582.00 
                                                                                
 Deposit will take place sometime during the payment day and funds will be      
 available the following day.                                                   
 (ST-3 Code A3101 Basic Formula Aid - Excess Cost Only)                         
                                                                                

NYSED HOME PAGE | STATE AID HOME PAGE | DISTRICT HOME PAGE