New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    271102               
      ST JOHNSVILLE CSD                  Municipal Code:   270773600200         
      61 MONROE ST                       Date of Payment:  SEP 01, 2009         
      ST JOHNSVILLE, NY  13452-1111      Amount of Payment:        $18,829.00   
                                                                                
                                                                                
     2008-09 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)           $817,675.00        
 2. Total Aug State Share Medicaid Amount                                       
 3. Total Sept State Share Medicaid Amount                                      
 4. Total Oct State Share Medicaid Amount                      $2,404.50        
 5. Total Nov State Share Medicaid Amount                        $916.00        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $201,098.25 
 7. December Net Excess Cost Payment                                $201,098.25 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)           $817,675.00        
 9. Total Dec State Share Medicaid Amount                      $7,591.00        
10. Total Jan State Share Medicaid Amount                      $6,143.50        
11. Total Feb State Share Medicaid Amount                     $17,426.50        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)    $336,792.75 
13. March Net Excess Cost Payment                                   $336,792.75 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)           $817,675.00        
15. Total Mar State Share Medicaid Amount                      $7,918.00        
16. Total Apr State Share Medicaid Amount                     $18,044.96        
17. Total May State Share Medicaid Amount                      $7,696.87        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)     $88,991.42 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                     $88,991.42 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)           $817,675.00        
24. Total June State Share Medicaid Amount                     $7,746.12        
25. Total July State Share Medicaid Amount                     $1,375.08        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $113,530.05 
27. August Net Excess Cost Payment                                  $113,530.05 
                                                                                
28. TOTAL EXCESS COST AID                                    $836,504.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)      $18,829.00 
30. September Net Excess Cost Payment                                $18,829.00 
                                                                                
 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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