New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    140801               
      CLARENCE CSD                       Municipal Code:   140616400100         
      9625 MAIN ST                       Date of Payment:  DEC 15, 2008         
      CLARENCE, NY  14031-2083           Amount of Payment:       $841,788.74   
                                                                                
                                                                                
     2008-09 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $3,653,677.00        
 2. Total Aug State Share Medicaid Amount                                       
 3. Total Sept State Share Medicaid Amount                                      
 4. Total Oct State Share Medicaid Amount                     $71,630.51        
 5. Total Nov State Share Medicaid Amount                                       
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $841,788.74 
 7. December Net Excess Cost Payment                                $841,788.74 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
 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)                         
                                                                                
NYSED HOME PAGE | STATE AID HOME PAGE | DISTRICT HOME PAGE