New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 043200
SALAMANCA CITY SD Municipal Code: 040551000000
50 IROQUOIS DR Date of Payment: DEC 15, 2008
SALAMANCA, NY 14779-1398 Amount of Payment: $515,862.00
2008-09 Certificate of Excess Cost Aid for Students with Disabilities
1. TOTAL EXCESS COST AID (less Estimated or calc) $2,063,448.00
2. Total Aug State Share Medicaid Amount
3. Total Sept State Share Medicaid Amount
4. Total Oct State Share Medicaid Amount
5. Total Nov State Share Medicaid Amount
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid) $515,862.00
7. December Net Excess Cost Payment $515,862.00
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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