New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    171102               
      BROADALBIN-PERTH CSD               Municipal Code:   170709400100         
      20 PINE ST                         Date of Payment:  Sept 2, 2008         
      BROADALBIN, NY  12025-9997         Amount of Payment:        $23,092.00   
                                                                                
                                                                                
     2007-08 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $1,914,022.00        
 2. Total Aug State Share Medicaid Amount                                       
 3. Total Sept State Share Medicaid Amount                    $33,502.00        
 4. Total Oct State Share Medicaid Amount                      $4,625.00        
 5. Total Nov State Share Medicaid Amount                      $8,046.00        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $432,332.50 
 7. December Net Excess Cost Payment                                $432,332.50 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $1,914,022.00        
 9. Total Dec State Share Medicaid Amount                      $3,362.00        
10. Total Jan State Share Medicaid Amount                     $11,958.50        
11. Total Feb State Share Medicaid Amount                                       
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)    $845,989.40 
13. March Net Excess Cost Payment                                   $845,989.40 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $1,914,022.00        
15. Total Mar State Share Medicaid Amount                                       
16. Total Apr State Share Medicaid Amount                    $103,735.68        
17. Total May State Share Medicaid Amount                                       
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $183,367.62 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $183,367.62 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $1,914,022.00        
24. Total June State Share Medicaid Amount                                      
25. Total July State Share Medicaid Amount                                      
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $287,103.30 
27. August Net Excess Cost Payment                                  $287,103.30 
                                                                                
28. TOTAL EXCESS COST AID                                  $1,937,114.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)      $23,092.00 
30. September Net Excess Cost Payment                                $23,092.00 
                                                                                
 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