New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 522001
STILLWATER CSD Municipal Code: 410780700100
PO BOX 490 Date of Payment: SEP 01, 2009
STILLWATER, NY 12170-0490 Amount of Payment: $67,191.00
2008-09 Certificate of Excess Cost Aid for Students with Disabilities
1. TOTAL EXCESS COST AID (less Estimated or calc)
2. Total Aug State Share Medicaid Amount
3. Total Sept State Share Medicaid Amount
4. Total Oct State Share Medicaid Amount $11,764.35
5. Total Nov State Share Medicaid Amount $260.00
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)
7. December Net Excess Cost Payment
8. TOTAL EXCESS COST AID (less Estimated or calc) $1,439,139.00
9. Total Dec State Share Medicaid Amount $5,252.04
10. Total Jan State Share Medicaid Amount $9,155.67
11. Total Feb State Share Medicaid Amount $5,080.01
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC) $975,885.23
13. March Net Excess Cost Payment $975,885.23
14. TOTAL EXCESS COST AID (less Estimated or calc) $1,439,139.00
15. Total Mar State Share Medicaid Amount $4,409.04
16. Total Apr State Share Medicaid Amount $2,949.51
17. Total May State Share Medicaid Amount $5,414.27
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC) $203,098.03
19. Less Adjustments for Therapeutic Foster Care
20. June Net Excess Cost Payment $203,098.03
23. TOTAL EXCESS COST AID (less Estimated or calc) $1,439,139.00
24. Total June State Share Medicaid Amount $2,771.17
25. Total July State Share Medicaid Amount $11,461.21
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC) $201,638.47
27. August Net Excess Cost Payment $201,638.47
28. TOTAL EXCESS COST AID $1,506,330.00
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC) $67,191.00
30. September Net Excess Cost Payment $67,191.00
Check will be mailed under separate cover from the Division of the Treasury.
(ST-3 Code A3101 Basic Formula Aid - Excess Cost Only)
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