New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    020601               
      ANDOVER CSD                        Municipal Code:   020702400100         
      PO BOX G                           Date of Payment:  Sept 2, 2008         
      ANDOVER, NY  14806-0508            Amount of Payment:             $0.00   
                                                                                
                                                                                
     2007-08 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)           $318,888.00        
 2. Total Aug State Share Medicaid Amount                                       
 3. Total Sept State Share Medicaid Amount                     $2,493.00        
 4. Total Oct State Share Medicaid Amount                      $1,864.00        
 5. Total Nov State Share Medicaid Amount                        $731.00        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)       $74,634.00 
 7. December Net Excess Cost Payment                                 $74,634.00 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)           $319,143.00        
 9. Total Dec State Share Medicaid Amount                         $44.00        
10. Total Jan State Share Medicaid Amount                                       
11. Total Feb State Share Medicaid Amount                        $260.00        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)    $143,374.10 
13. March Net Excess Cost Payment                                   $143,374.10 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)           $330,124.00        
15. Total Mar State Share Medicaid Amount                     $16,842.00        
16. Total Apr State Share Medicaid Amount                        $392.50        
17. Total May State Share Medicaid Amount                      $1,649.50        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)     $38,321.30 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                     $38,321.30 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)           $310,380.00        
24. Total June State Share Medicaid Amount                                      
25. Total July State Share Medicaid Amount                     $4,388.00        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)         $25,386.60 
27. August Net Excess Cost Payment                                   $25,386.60 
                                                                                
28. TOTAL EXCESS COST AID                                    $310,380.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)                 
30. September Net Excess Cost Payment                                           
                                                                                
 Check will be mailed under separate cover from the Division of the Treasury.   
 (ST-3 Code A3101 Basic Formula Aid - Excess Cost Only)                         
                                                                                
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