New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 570401
BRADFORD CSD Municipal Code: 460708600100
2820 RT 226 Date of Payment: Sept 2, 2008
BRADFORD, NY 14815-9602 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) $557,160.00
2. Total Aug State Share Medicaid Amount
3. Total Sept State Share Medicaid Amount
4. Total Oct State Share Medicaid Amount $5,157.00
5. Total Nov State Share Medicaid Amount
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid) $134,133.00
7. December Net Excess Cost Payment $134,133.00
8. TOTAL EXCESS COST AID (less Estimated or calc) $577,057.00
9. Total Dec State Share Medicaid Amount
10. Total Jan State Share Medicaid Amount $3,364.50
11. Total Feb State Share Medicaid Amount
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC) $261,285.40
13. March Net Excess Cost Payment $261,285.40
14. TOTAL EXCESS COST AID (less Estimated or calc) $575,434.00
15. Total Mar State Share Medicaid Amount
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) $85,179.00
19. Less Adjustments for Therapeutic Foster Care
20. June Net Excess Cost Payment $85,179.00
23. TOTAL EXCESS COST AID (less Estimated or calc) $575,434.00
24. Total June State Share Medicaid Amount $3,598.00
25. Total July State Share Medicaid Amount
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC) $82,717.10
27. August Net Excess Cost Payment $82,717.10
28. TOTAL EXCESS COST AID $575,434.00
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)
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