New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 570101
ADDISON CSD Municipal Code: 460700200100
1 COLWELL ST Date of Payment: Sept 2, 2008
ADDISON, NY 14801-1398 Amount of Payment: $0.00
2007-08 Certificate of Excess Cost Aid for Students with Disabilities
1. TOTAL EXCESS COST AID (less Estimated or calc) $1,434,040.00
2. Total Aug State Share Medicaid Amount $1,991.61
3. Total Sept State Share Medicaid Amount $3,603.50
4. Total Oct State Share Medicaid Amount
5. Total Nov State Share Medicaid Amount $5,005.50
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid) $347,909.39
7. December Net Excess Cost Payment $347,909.39
8. TOTAL EXCESS COST AID (less Estimated or calc) $1,437,569.00
9. Total Dec State Share Medicaid Amount $3,726.00
10. Total Jan State Share Medicaid Amount $4,496.50
11. Total Feb State Share Medicaid Amount $3,767.00
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC) $635,798.80
13. March Net Excess Cost Payment $635,798.80
14. TOTAL EXCESS COST AID (less Estimated or calc) $1,437,569.00
15. Total Mar State Share Medicaid Amount
16. Total Apr State Share Medicaid Amount $5,375.00
17. Total May State Share Medicaid Amount $2,425.50
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC) $207,834.85
19. Less Adjustments for Therapeutic Foster Care
20. June Net Excess Cost Payment $207,834.85
23. TOTAL EXCESS COST AID (less Estimated or calc) $1,437,569.00
24. Total June State Share Medicaid Amount
25. Total July State Share Medicaid Amount $5,702.50
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC) $209,932.85
27. August Net Excess Cost Payment $209,932.85
28. TOTAL EXCESS COST AID $1,437,569.00
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)
30. September Net Excess Cost Payment
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