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)
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