New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    270100               
      AMSTERDAM CITY SD                  Municipal Code:   270502000000         
      11 LIBERTY ST                      Date of Payment:  SEP 01, 2009         
      AMSTERDAM, NY  12010-0670          Amount of Payment:       $185,734.00   
                                                                                
                                                                                
     2008-09 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)                              
 2. Total Aug State Share Medicaid Amount                                       
 3. Total Sept State Share Medicaid Amount                                      
 4. Total Oct State Share Medicaid Amount                                       
 5. Total Nov State Share Medicaid Amount                     $55,054.50        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)                  
 7. December Net Excess Cost Payment                                            
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $4,542,297.00        
 9. Total Dec State Share Medicaid Amount                     $72,911.50        
10. Total Jan State Share Medicaid Amount                    $166,067.00        
11. Total Feb State Share Medicaid Amount                     $48,571.00        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)  $2,837,003.90 
13. March Net Excess Cost Payment                                 $2,837,003.90 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $4,542,297.00        
15. Total Mar State Share Medicaid Amount                     $26,053.50        
16. Total Apr State Share Medicaid Amount                     $52,417.03        
17. Total May State Share Medicaid Amount                     $29,404.86        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $573,469.16 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $573,469.16 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $4,542,297.00        
24. Total June State Share Medicaid Amount                    $64,471.50        
25. Total July State Share Medicaid Amount                    $61,298.91        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $555,574.14 
27. August Net Excess Cost Payment                                  $555,574.14 
                                                                                
28. TOTAL EXCESS COST AID                                  $4,728,031.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)     $185,734.00 
30. September Net Excess Cost Payment                               $185,734.00 
                                                                                
 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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