New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    170500               
      GLOVERSVILLE CITY SD               Municipal Code:   170518000000         
      PO BOX 593                         Date of Payment:  SEP 01, 2009         
      GLOVERSVILLE, NY  12078-0005       Amount of Payment:       $185,058.00   
                                                                                
                                                                                
     2008-09 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $5,652,002.00        
 2. Total Aug State Share Medicaid Amount                                       
 3. Total Sept State Share Medicaid Amount                    $34,333.50        
 4. Total Oct State Share Medicaid Amount                                       
 5. Total Nov State Share Medicaid Amount                     $24,191.00        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)    $1,354,476.00 
 7. December Net Excess Cost Payment                              $1,354,476.00 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $5,652,002.00        
 9. Total Dec State Share Medicaid Amount                     $90,747.00        
10. Total Jan State Share Medicaid Amount                     $34,080.50        
11. Total Feb State Share Medicaid Amount                                       
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)  $2,418,573.40 
13. March Net Excess Cost Payment                                 $2,418,573.40 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $5,652,002.00        
15. Total Mar State Share Medicaid Amount                     $41,336.50        
16. Total Apr State Share Medicaid Amount                     $21,597.72        
17. Total May State Share Medicaid Amount                     $47,786.33        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $737,079.75 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $737,079.75 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $5,652,002.00        
24. Total June State Share Medicaid Amount                    $23,750.25        
25. Total July State Share Medicaid Amount                    $19,089.00        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $804,961.05 
27. August Net Excess Cost Payment                                  $804,961.05 
                                                                                
28. TOTAL EXCESS COST AID                                  $5,837,060.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)     $185,058.00 
30. September Net Excess Cost Payment                               $185,058.00 
                                                                                
 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)                         
                                                                                
NYSED HOME PAGE | STATE AID HOME PAGE | DISTRICT HOME PAGE