New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    171001               
      OPPENHEIM-EPHRATAH CSD             Municipal Code:   170761300100         
      6486 STATE HWY 29                  Date of Payment:  SEP 01, 2009         
      ST JOHNSVILLE, NY  13452-9309      Amount of Payment:             $0.00   
                                                                                
                                                                                
     2008-09 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)           $732,173.00        
 2. Total Aug State Share Medicaid Amount                                       
 3. Total Sept State Share Medicaid Amount                                      
 4. Total Oct State Share Medicaid Amount                        $657.50        
 5. Total Nov State Share Medicaid Amount                      $1,232.00        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $181,153.75 
 7. December Net Excess Cost Payment                                $181,153.75 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)           $732,173.00        
 9. Total Dec State Share Medicaid Amount                      $1,831.00        
10. Total Jan State Share Medicaid Amount                      $1,064.50        
11. Total Feb State Share Medicaid Amount                      $1,746.00        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)    $324,836.35 
13. March Net Excess Cost Payment                                   $324,836.35 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)           $733,968.00        
15. Total Mar State Share Medicaid Amount                      $1,183.00        
16. Total Apr State Share Medicaid Amount                        $623.42        
17. Total May State Share Medicaid Amount                      $1,297.01        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $108,248.27 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $108,248.27 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)           $733,768.00        
24. Total June State Share Medicaid Amount                     $6,153.83        
25. Total July State Share Medicaid Amount                     $5,458.06        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)         $98,283.31 
27. August Net Excess Cost Payment                                   $98,283.31 
                                                                                
28. TOTAL EXCESS COST AID                                    $733,768.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)                 
30. September Net Excess Cost Payment                                           
                                                                                
 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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