New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    521200               
      MECHANICVILLE CITY SD              Municipal Code:   410529000000         
      25 KNISKERN AVE                    Date of Payment:  SEP 01, 2009         
      MECHANICVILLE, NY  12118-1995      Amount of Payment:       $128,923.00   
                                                                                
                                                                                
     2008-09 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $1,438,903.00        
 2. Total Aug State Share Medicaid Amount                                       
 3. Total Sept State Share Medicaid Amount                     $4,587.52        
 4. Total Oct State Share Medicaid Amount                      $6,970.40        
 5. Total Nov State Share Medicaid Amount                        $564.50        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $347,603.33 
 7. December Net Excess Cost Payment                                $347,603.33 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $1,438,903.00        
 9. Total Dec State Share Medicaid Amount                     $14,367.00        
10. Total Jan State Share Medicaid Amount                     $15,098.01        
11. Total Feb State Share Medicaid Amount                      $5,718.50        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)    $612,322.84 
13. March Net Excess Cost Payment                                   $612,322.84 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $1,438,903.00        
15. Total Mar State Share Medicaid Amount                      $9,238.96        
16. Total Apr State Share Medicaid Amount                      $8,136.45        
17. Total May State Share Medicaid Amount                      $7,783.25        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $190,676.79 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $190,676.79 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $1,438,903.00        
24. Total June State Share Medicaid Amount                     $9,895.90        
25. Total July State Share Medicaid Amount                    $21,808.25        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $184,131.30 
27. August Net Excess Cost Payment                                  $184,131.30 
                                                                                
28. TOTAL EXCESS COST AID                                  $1,567,826.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)     $128,923.00 
30. September Net Excess Cost Payment                               $128,923.00 
                                                                                
 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