New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    010402               
      RAVENA-COEYMANS-SELKIRK CSD        Municipal Code:   010618000200         
      PO BOX 97                          Date of Payment:  SEP 01, 2009         
      SELKIRK, NY  12158-0097            Amount of Payment:       $234,874.00   
                                                                                
                                                                                
     2008-09 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $3,273,206.00        
 2. Total Aug State Share Medicaid Amount                                       
 3. Total Sept State Share Medicaid Amount                     $7,131.77        
 4. Total Oct State Share Medicaid Amount                      $5,857.84        
 5. Total Nov State Share Medicaid Amount                      $9,565.50        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $795,746.39 
 7. December Net Excess Cost Payment                                $795,746.39 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $3,384,759.00        
 9. Total Dec State Share Medicaid Amount                     $14,675.52        
10. Total Jan State Share Medicaid Amount                     $11,497.02        
11. Total Feb State Share Medicaid Amount                     $12,862.15        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)  $1,511,995.11 
13. March Net Excess Cost Payment                                 $1,511,995.11 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $3,456,166.00        
15. Total Mar State Share Medicaid Amount                     $20,650.69        
16. Total Apr State Share Medicaid Amount                     $25,154.31        
17. Total May State Share Medicaid Amount                     $22,137.04        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $500,467.76 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $500,467.76 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $3,456,166.00        
24. Total June State Share Medicaid Amount                    $14,816.49        
25. Total July State Share Medicaid Amount                    $12,503.43        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $491,104.98 
27. August Net Excess Cost Payment                                  $491,104.98 
                                                                                
28. TOTAL EXCESS COST AID                                  $3,691,040.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)     $234,874.00 
30. September Net Excess Cost Payment                               $234,874.00 
                                                                                
 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)                         
                                                                                
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