New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    580224               
      PATCHOGUE-MEDFORD UFSD             Municipal Code:   470609602400         
      241 S OCEAN AVE                    Date of Payment:  Sept 2, 2008         
      PATCHOGUE, NY  11772-3787          Amount of Payment:       $450,022.00   
                                                                                
                                                                                
     2007-08 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $8,941,946.00        
 2. Total Aug State Share Medicaid Amount                     $16,149.50        
 3. Total Sept State Share Medicaid Amount                    $18,519.50        
 4. Total Oct State Share Medicaid Amount                      $3,091.00        
 5. Total Nov State Share Medicaid Amount                     $12,289.00        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)    $2,185,437.50 
 7. December Net Excess Cost Payment                              $2,185,437.50 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $9,614,375.00        
 9. Total Dec State Share Medicaid Amount                      $6,783.50        
10. Total Jan State Share Medicaid Amount                      $7,082.50        
11. Total Feb State Share Medicaid Amount                      $8,789.00        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)  $4,471,921.00 
13. March Net Excess Cost Payment                                 $4,471,921.00 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $9,614,375.00        
15. Total Mar State Share Medicaid Amount                                       
16. Total Apr State Share Medicaid Amount                     $21,276.00        
17. Total May State Share Medicaid Amount                     $13,287.00        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)  $1,407,593.25 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                  $1,407,593.25 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $9,614,375.00        
24. Total June State Share Medicaid Amount                   $123,345.00        
25. Total July State Share Medicaid Amount                    $26,760.50        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)      $1,200,549.75 
27. August Net Excess Cost Payment                                $1,200,549.75 
                                                                                
28. TOTAL EXCESS COST AID                                 $10,064,397.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)     $450,022.00 
    a. Less Charter School Recapture                                 $91,501.00 
30. September Net Excess Cost Payment                               $450,022.00 
                                                                                
 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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