New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 130200
BEACON CITY SD Municipal Code: 130505000000
10 EDUCATION DR Date of Payment: Sept 2, 2008
BEACON, NY 12508-3994 Amount of Payment: $258,992.00
2007-08 Certificate of Excess Cost Aid for Students with Disabilities
1. TOTAL EXCESS COST AID (less Estimated or calc) $4,562,065.00
2. Total Aug State Share Medicaid Amount $260.00
3. Total Sept State Share Medicaid Amount
4. Total Oct State Share Medicaid Amount $821.00
5. Total Nov State Share Medicaid Amount $7,660.00
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid) $1,131,775.25
7. December Net Excess Cost Payment $1,131,775.25
8. TOTAL EXCESS COST AID (less Estimated or calc) $4,562,065.00
9. Total Dec State Share Medicaid Amount $37,665.00
10. Total Jan State Share Medicaid Amount $4,843.50
11. Total Feb State Share Medicaid Amount $3,640.00
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC) $2,006,780.75
13. March Net Excess Cost Payment $2,006,780.75
14. TOTAL EXCESS COST AID (less Estimated or calc) $4,562,065.00
15. Total Mar State Share Medicaid Amount $83,808.00
16. Total Apr State Share Medicaid Amount $2,866.00
17. Total May State Share Medicaid Amount
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC) $597,635.75
19. Less Adjustments for Therapeutic Foster Care
20. June Net Excess Cost Payment $597,635.75
23. TOTAL EXCESS COST AID (less Estimated or calc) $4,562,065.00
24. Total June State Share Medicaid Amount
25. Total July State Share Medicaid Amount $95,731.00
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC) $588,578.75
27. August Net Excess Cost Payment $588,578.75
28. TOTAL EXCESS COST AID $4,821,057.00
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC) $258,992.00
30. September Net Excess Cost Payment $258,992.00
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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