New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 040302
ALLEGANY - LIMESTONE CSD Municipal Code: 040701100100
3131 FIVE MILE RD Date of Payment: Sept 2, 2008
ALLEGANY, NY 14706-1015 Amount of Payment: $37,738.00
2007-08 Certificate of Excess Cost Aid for Students with Disabilities
1. TOTAL EXCESS COST AID (less Estimated or calc) $1,227,660.00
2. Total Aug State Share Medicaid Amount $3,814.00
3. Total Sept State Share Medicaid Amount
4. Total Oct State Share Medicaid Amount $7,754.00
5. Total Nov State Share Medicaid Amount $5,576.50
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid) $289,770.50
7. December Net Excess Cost Payment $289,770.50
8. TOTAL EXCESS COST AID (less Estimated or calc) $1,227,660.00
9. Total Dec State Share Medicaid Amount $5,856.50
10. Total Jan State Share Medicaid Amount $6,039.50
11. Total Feb State Share Medicaid Amount
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC) $540,551.00
13. March Net Excess Cost Payment $540,551.00
14. TOTAL EXCESS COST AID (less Estimated or calc) $1,227,660.00
15. Total Mar State Share Medicaid Amount
16. Total Apr State Share Medicaid Amount $75,049.21
17. Total May State Share Medicaid Amount $9,071.43
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC) $100,028.36
19. Less Adjustments for Therapeutic Foster Care
20. June Net Excess Cost Payment $100,028.36
23. TOTAL EXCESS COST AID (less Estimated or calc) $1,227,660.00
24. Total June State Share Medicaid Amount
25. Total July State Share Medicaid Amount $18,755.20
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC) $165,393.80
27. August Net Excess Cost Payment $165,393.80
28. TOTAL EXCESS COST AID $1,265,398.00
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC) $37,738.00
30. September Net Excess Cost Payment $37,738.00
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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