New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    170600               
      JOHNSTOWN CITY SD                  Municipal Code:   170523000000         
      2 WRIGHT DR STE 101                Date of Payment:  SEP 01, 2009         
      JOHNSTOWN, NY  12095-3099          Amount of Payment:       $413,659.00   
                                                                                
                                                                                
     2008-09 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $2,530,833.00        
 2. Total Aug State Share Medicaid Amount                                       
 3. Total Sept State Share Medicaid Amount                    $26,686.50        
 4. Total Oct State Share Medicaid Amount                                       
 5. Total Nov State Share Medicaid Amount                    $106,673.50        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $499,348.25 
 7. December Net Excess Cost Payment                                $499,348.25 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $2,530,833.00        
 9. Total Dec State Share Medicaid Amount                     $16,953.50        
10. Total Jan State Share Medicaid Amount                     $26,200.50        
11. Total Feb State Share Medicaid Amount                                       
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)  $1,095,720.85 
13. March Net Excess Cost Payment                                 $1,095,720.85 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $2,530,833.00        
15. Total Mar State Share Medicaid Amount                     $30,776.00        
16. Total Apr State Share Medicaid Amount                                       
17. Total May State Share Medicaid Amount                     $40,400.38        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $308,448.57 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $308,448.57 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $2,530,833.00        
24. Total June State Share Medicaid Amount                    $20,496.97        
25. Total July State Share Medicaid Amount                                      
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $359,127.98 
27. August Net Excess Cost Payment                                  $359,127.98 
                                                                                
28. TOTAL EXCESS COST AID                                  $2,944,492.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)     $413,659.00 
30. September Net Excess Cost Payment                               $413,659.00 
                                                                                
 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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