New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    512902               
      POTSDAM CSD                        Municipal Code:   400668400200         
      29 LEROY ST                        Date of Payment:  Sept 2, 2008         
      POTSDAM, NY  13676-1787            Amount of Payment:       $118,295.00   
                                                                                
                                                                                
     2007-08 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $2,050,620.00        
 2. Total Aug State Share Medicaid Amount                     $32,727.00        
 3. Total Sept State Share Medicaid Amount                                      
 4. Total Oct State Share Medicaid Amount                      $3,240.00        
 5. Total Nov State Share Medicaid Amount                                       
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $476,688.00 
 7. December Net Excess Cost Payment                                $476,688.00 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $2,050,620.00        
 9. Total Dec State Share Medicaid Amount                      $3,860.00        
10. Total Jan State Share Medicaid Amount                     $13,803.50        
11. Total Feb State Share Medicaid Amount                      $9,370.00        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)    $895,745.50 
13. March Net Excess Cost Payment                                   $895,745.50 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $2,050,620.00        
15. Total Mar State Share Medicaid Amount                     $11,386.50        
16. Total Apr State Share Medicaid Amount                      $2,964.00        
17. Total May State Share Medicaid Amount                      $2,600.00        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $290,642.50 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $290,642.50 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $2,050,620.00        
24. Total June State Share Medicaid Amount                                      
25. Total July State Share Medicaid Amount                    $14,671.50        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $292,921.50 
27. August Net Excess Cost Payment                                  $292,921.50 
                                                                                
28. TOTAL EXCESS COST AID                                  $2,168,915.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)     $118,295.00 
30. September Net Excess Cost Payment                               $118,295.00 
                                                                                
 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)                         
                                                                                
NYSED HOME PAGE | STATE AID HOME PAGE | DISTRICT HOME PAGE