New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 460102
ALTMAR-PARISH-WILLIAMSTOWN CSD Municipal Code: 350700600200
PO BOX 97 Date of Payment: Sept 2, 2008
PARISH, NY 13131-0097 Amount of Payment: $132,219.00
2007-08 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 $33,339.00
3. Total Sept State Share Medicaid Amount
4. Total Oct State Share Medicaid Amount
5. Total Nov State Share Medicaid Amount $4,830.00
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) $2,350,628.00
9. Total Dec State Share Medicaid Amount $10,556.00
10. Total Jan State Share Medicaid Amount $4,695.50
11. Total Feb State Share Medicaid Amount $6,552.50
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC) $1,585,466.60
13. March Net Excess Cost Payment $1,585,466.60
14. TOTAL EXCESS COST AID (less Estimated or calc) $2,350,628.00
15. Total Mar State Share Medicaid Amount
16. Total Apr State Share Medicaid Amount $7,055.00
17. Total May State Share Medicaid Amount $1,505.00
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC) $344,034.20
19. Less Adjustments for Therapeutic Foster Care
20. June Net Excess Cost Payment $344,034.20
23. TOTAL EXCESS COST AID (less Estimated or calc) $2,350,628.00
24. Total June State Share Medicaid Amount
25. Total July State Share Medicaid Amount $13,843.00
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC) $338,751.20
27. August Net Excess Cost Payment $338,751.20
28. TOTAL EXCESS COST AID $2,482,847.00
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC) $132,219.00
30. September Net Excess Cost Payment $132,219.00
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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