New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    522101               
      WATERFORD-HALFMOON UFSD            Municipal Code:   410687500100         
      125 MIDDLETOWN RD                  Date of Payment:  SEP 01, 2009         
      WATERFORD, NY  12188-1590          Amount of Payment:        $18,758.00   
                                                                                
                                                                                
     2008-09 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $1,158,596.00        
 2. Total Aug State Share Medicaid Amount                      $6,847.00        
 3. Total Sept State Share Medicaid Amount                     $3,325.50        
 4. Total Oct State Share Medicaid Amount                                       
 5. Total Nov State Share Medicaid Amount                                       
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $279,476.50 
 7. December Net Excess Cost Payment                                $279,476.50 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $1,158,596.00        
 9. Total Dec State Share Medicaid Amount                      $4,622.50        
10. Total Jan State Share Medicaid Amount                      $7,221.50        
11. Total Feb State Share Medicaid Amount                      $1,714.00        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)    $507,810.20 
13. March Net Excess Cost Payment                                   $507,810.20 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $1,158,274.00        
15. Total Mar State Share Medicaid Amount                                       
16. Total Apr State Share Medicaid Amount                        $484.09        
17. Total May State Share Medicaid Amount                      $8,495.45        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $164,536.16 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $164,536.16 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $1,263,253.00        
24. Total June State Share Medicaid Amount                     $3,724.62        
25. Total July State Share Medicaid Amount                                      
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $274,995.48 
27. August Net Excess Cost Payment                                  $274,995.48 
                                                                                
28. TOTAL EXCESS COST AID                                  $1,282,011.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)      $18,758.00 
30. September Net Excess Cost Payment                                $18,758.00 
                                                                                
 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