New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    520101               
      BURNT HILLS-BALLSTON LAKE CSD      Municipal Code:   410604900100         
      50 CYPRESS DR                      Date of Payment:  SEP 01, 2009         
      SCOTIA, NY  12302-4398             Amount of Payment:        $17,720.00   
                                                                                
                                                                                
     2008-09 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $3,467,217.00        
 2. Total Aug State Share Medicaid Amount                      $7,143.00        
 3. Total Sept State Share Medicaid Amount                     $5,832.00        
 4. Total Oct State Share Medicaid Amount                      $8,885.26        
 5. Total Nov State Share Medicaid Amount                      $5,254.01        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $839,689.98 
 7. December Net Excess Cost Payment                                $839,689.98 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $3,467,217.00        
 9. Total Dec State Share Medicaid Amount                      $1,630.50        
10. Total Jan State Share Medicaid Amount                        $609.00        
11. Total Feb State Share Medicaid Amount                     $10,154.84        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)  $1,547,853.31 
13. March Net Excess Cost Payment                                 $1,547,853.31 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $3,467,217.00        
15. Total Mar State Share Medicaid Amount                        $260.00        
16. Total Apr State Share Medicaid Amount                      $1,482.13        
17. Total May State Share Medicaid Amount                      $4,707.93        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $513,632.49 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $513,632.49 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $3,467,217.00        
24. Total June State Share Medicaid Amount                    $43,104.28        
25. Total July State Share Medicaid Amount                     $8,412.94        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $468,565.33 
27. August Net Excess Cost Payment                                  $468,565.33 
                                                                                
28. TOTAL EXCESS COST AID                                  $3,484,937.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)      $17,720.00 
30. September Net Excess Cost Payment                                $17,720.00 
                                                                                
 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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