New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    490101               
      BERLIN CSD                         Municipal Code:   380706700100         
      PO BOX 259                         Date of Payment:  Sept 2, 2008         
      BERLIN, NY  12022-0259             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)         $1,408,137.00        
 2. Total Aug State Share Medicaid Amount                     $12,840.50        
 3. Total Sept State Share Medicaid Amount                                      
 4. Total Oct State Share Medicaid Amount                      $9,246.00        
 5. Total Nov State Share Medicaid Amount                      $1,059.00        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $328,888.75 
 7. December Net Excess Cost Payment                                $328,888.75 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $1,436,485.00        
 9. Total Dec State Share Medicaid Amount                      $8,053.00        
10. Total Jan State Share Medicaid Amount                                       
11. Total Feb State Share Medicaid Amount                     $16,428.00        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)    $629,024.25 
13. March Net Excess Cost Payment                                   $629,024.25 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $1,497,952.00        
15. Total Mar State Share Medicaid Amount                                       
16. Total Apr State Share Medicaid Amount                      $5,510.00        
17. Total May State Share Medicaid Amount                                       
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $262,209.70 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $262,209.70 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $1,541,825.00        
24. Total June State Share Medicaid Amount                                      
25. Total July State Share Medicaid Amount                                      
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $268,565.80 
27. August Net Excess Cost Payment                                  $268,565.80 
                                                                                
28. TOTAL EXCESS COST AID                                  $1,541,825.00        
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)                         
                                                                                
NYSED HOME PAGE | STATE AID HOME PAGE | DISTRICT HOME PAGE