New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 401301
BARKER CSD Municipal Code: 290778600100
PO BOX 328 Date of Payment: Sept 2, 2008
BARKER, NY 14012 Amount of Payment: $0.00
2007-08 Certificate of Excess Cost Aid for Students with Disabilities
1. TOTAL EXCESS COST AID (less Estimated or calc) $759,739.00
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 $30,630.50
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid) $159,304.25
7. December Net Excess Cost Payment $159,304.25
8. TOTAL EXCESS COST AID (less Estimated or calc) $761,120.00
9. Total Dec State Share Medicaid Amount
10. Total Jan State Share Medicaid Amount
11. Total Feb State Share Medicaid Amount
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC) $342,849.25
13. March Net Excess Cost Payment $342,849.25
14. TOTAL EXCESS COST AID (less Estimated or calc) $772,788.00
15. Total Mar State Share Medicaid Amount $3,823.00
16. Total Apr State Share Medicaid Amount $5,957.00
17. Total May State Share Medicaid Amount $3,538.00
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC) $110,767.80
19. Less Adjustments for Therapeutic Foster Care
20. June Net Excess Cost Payment $110,767.80
23. TOTAL EXCESS COST AID (less Estimated or calc) $773,847.00
24. Total June State Share Medicaid Amount $6,387.36
25. Total July State Share Medicaid Amount $6,075.65
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC) $104,514.19
27. August Net Excess Cost Payment $104,514.19
28. TOTAL EXCESS COST AID $773,847.00
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)
30. September Net Excess Cost Payment
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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