New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 280205
LEVITTOWN UFSD Municipal Code: 280638600500
150 ABBEY LN Date of Payment: Sept 2, 2008
LEVITTOWN, NY 11756-4042 Amount of Payment: $607,856.00
2007-08 Certificate of Excess Cost Aid for Students with Disabilities
1. TOTAL EXCESS COST AID (less Estimated or calc) $8,595,486.00
2. Total Aug State Share Medicaid Amount
3. Total Sept State Share Medicaid Amount $23,896.50
4. Total Oct State Share Medicaid Amount $11,224.50
5. Total Nov State Share Medicaid Amount $3,408.00
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid) $2,110,342.50
7. December Net Excess Cost Payment $2,110,342.50
8. TOTAL EXCESS COST AID (less Estimated or calc) $9,091,073.00
9. Total Dec State Share Medicaid Amount $8,082.00
10. Total Jan State Share Medicaid Amount
11. Total Feb State Share Medicaid Amount $15,725.00
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC) $4,191,072.60
13. March Net Excess Cost Payment $4,191,072.60
14. TOTAL EXCESS COST AID (less Estimated or calc) $9,091,073.00
15. Total Mar State Share Medicaid Amount
16. Total Apr State Share Medicaid Amount
17. Total May State Share Medicaid Amount $39,658.29
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC) $1,324,002.66
19. Less Adjustments for Therapeutic Foster Care
20. June Net Excess Cost Payment $1,324,002.66
23. TOTAL EXCESS COST AID (less Estimated or calc) $9,091,073.00
24. Total June State Share Medicaid Amount $46,570.40
25. Total July State Share Medicaid Amount
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC) $1,317,090.55
27. August Net Excess Cost Payment $1,317,090.55
28. TOTAL EXCESS COST AID $9,698,929.00
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC) $607,856.00
30. September Net Excess Cost Payment $607,856.00
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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