New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    231301               
      BEAVER RIVER CSD                   Municipal Code:   230756800100         
      PO BOX 179                         Date of Payment:  Sept 2, 2008         
      BEAVER FALLS, NY  13305-0179       Amount of Payment:        $43,277.00   
                                                                                
                                                                                
     2007-08 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)           $432,272.00        
 2. Total Aug State Share Medicaid Amount                                       
 3. Total Sept State Share Medicaid Amount                     $7,632.50        
 4. Total Oct State Share Medicaid Amount                      $1,551.00        
 5. Total Nov State Share Medicaid Amount                      $1,144.50        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)       $97,740.00 
 7. December Net Excess Cost Payment                                 $97,740.00 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)           $432,272.00        
 9. Total Dec State Share Medicaid Amount                        $917.50        
10. Total Jan State Share Medicaid Amount                        $780.00        
11. Total Feb State Share Medicaid Amount                                       
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)    $192,824.90 
13. March Net Excess Cost Payment                                   $192,824.90 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)           $432,272.00        
15. Total Mar State Share Medicaid Amount                        $511.00        
16. Total Apr State Share Medicaid Amount                     $18,389.00        
17. Total May State Share Medicaid Amount                     $21,645.00        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)     $24,295.80 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                     $24,295.80 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)           $432,272.00        
24. Total June State Share Medicaid Amount                     $6,792.50        
25. Total July State Share Medicaid Amount                                      
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)         $58,048.30 
27. August Net Excess Cost Payment                                   $58,048.30 
                                                                                
28. TOTAL EXCESS COST AID                                    $475,549.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)      $43,277.00 
30. September Net Excess Cost Payment                                $43,277.00 
                                                                                
 Check will be mailed under separate cover from the Division of the Treasury.   
 (ST-3 Code A3101 Basic Formula Aid - Excess Cost Only)                         
                                                                                

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