New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 081003
UNADILLA VALLEY CSD Municipal Code: 080756700100
1 SCHOOL ST Date of Payment: Sept 2, 2008
NEW BERLIN, NY 13411-0606 Amount of Payment: $64,347.00
2007-08 Certificate of Excess Cost Aid for Students with Disabilities
1. TOTAL EXCESS COST AID (less Estimated or calc) $1,131,490.00
2. Total Aug State Share Medicaid Amount
3. Total Sept State Share Medicaid Amount
4. Total Oct State Share Medicaid Amount $13,434.50
5. Total Nov State Share Medicaid Amount $771.00
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid) $268,667.00
7. December Net Excess Cost Payment $268,667.00
8. TOTAL EXCESS COST AID (less Estimated or calc) $1,131,490.00
9. Total Dec State Share Medicaid Amount $27,015.50
10. Total Jan State Share Medicaid Amount
11. Total Feb State Share Medicaid Amount
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC) $482,155.00
13. March Net Excess Cost Payment $482,155.00
14. TOTAL EXCESS COST AID (less Estimated or calc) $1,131,490.00
15. Total Mar State Share Medicaid Amount
16. Total Apr State Share Medicaid Amount $2,704.50
17. Total May State Share Medicaid Amount $38,466.50
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC) $128,552.50
19. Less Adjustments for Therapeutic Foster Care
20. June Net Excess Cost Payment $128,552.50
23. TOTAL EXCESS COST AID (less Estimated or calc) $1,131,490.00
24. Total June State Share Medicaid Amount
25. Total July State Share Medicaid Amount
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC) $169,723.50
27. August Net Excess Cost Payment $169,723.50
28. TOTAL EXCESS COST AID $1,195,837.00
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC) $64,347.00
30. September Net Excess Cost Payment $64,347.00
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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