New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 521701
SCHUYLERVILLE CSD Municipal Code: 410774700100
14 SPRING ST Date of Payment: SEP 01, 2009
SCHUYLERVILLE, NY 12871-1098 Amount of Payment: $107,077.00
2008-09 Certificate of Excess Cost Aid for Students with Disabilities
1. TOTAL EXCESS COST AID (less Estimated or calc) $2,496,529.00
2. Total Aug State Share Medicaid Amount $10,255.00
3. Total Sept State Share Medicaid Amount
4. Total Oct State Share Medicaid Amount $9,392.00
5. Total Nov State Share Medicaid Amount $8,860.00
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid) $595,625.25
7. December Net Excess Cost Payment $595,625.25
8. TOTAL EXCESS COST AID (less Estimated or calc) $2,496,529.00
9. Total Dec State Share Medicaid Amount $1,533.00
10. Total Jan State Share Medicaid Amount
11. Total Feb State Share Medicaid Amount $9,013.00
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC) $1,112,892.05
13. March Net Excess Cost Payment $1,112,892.05
14. TOTAL EXCESS COST AID (less Estimated or calc) $2,496,529.00
15. Total Mar State Share Medicaid Amount $7,470.00
16. Total Apr State Share Medicaid Amount
17. Total May State Share Medicaid Amount
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC) $367,009.35
19. Less Adjustments for Therapeutic Foster Care
20. June Net Excess Cost Payment $367,009.35
23. TOTAL EXCESS COST AID (less Estimated or calc) $2,496,529.00
24. Total June State Share Medicaid Amount
25. Total July State Share Medicaid Amount $31,729.73
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC) $342,749.62
27. August Net Excess Cost Payment $342,749.62
28. TOTAL EXCESS COST AID $2,603,606.00
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC) $107,077.00
30. September Net Excess Cost Payment $107,077.00
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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