New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 130801
HYDE PARK CSD Municipal Code: 130641400100
PO BOX 2033 Date of Payment: DEC 15, 2008
HYDE PARK, NY 12538 Amount of Payment: $1,272,258.25
2008-09 Certificate of Excess Cost Aid for Students with Disabilities
1. TOTAL EXCESS COST AID (less Estimated or calc) $5,252,901.00
2. Total Aug State Share Medicaid Amount
3. Total Sept State Share Medicaid Amount $23,456.00
4. Total Oct State Share Medicaid Amount $14,340.50
5. Total Nov State Share Medicaid Amount $3,170.50
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid) $1,272,258.25
7. December Net Excess Cost Payment $1,272,258.25
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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