New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 580235
SOUTH COUNTRY CSD Municipal Code: 470609600400
189 N DUNTON AVE Date of Payment: SEP 01, 2009
EAST PATCHOGUE, NY 11772-5598 Amount of Payment: $148,912.00
2008-09 Certificate of Excess Cost Aid for Students with Disabilities
1. TOTAL EXCESS COST AID (less Estimated or calc) $5,798,528.00
2. Total Aug State Share Medicaid Amount
3. Total Sept State Share Medicaid Amount
4. Total Oct State Share Medicaid Amount
5. Total Nov State Share Medicaid Amount $22,418.00
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid) $1,427,214.00
7. December Net Excess Cost Payment $1,427,214.00
8. TOTAL EXCESS COST AID (less Estimated or calc) $5,798,528.00
9. Total Dec State Share Medicaid Amount $5,790.00
10. Total Jan State Share Medicaid Amount $13,047.26
11. Total Feb State Share Medicaid Amount $2,684.99
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC) $2,587,815.35
13. March Net Excess Cost Payment $2,587,815.35
14. TOTAL EXCESS COST AID (less Estimated or calc) $6,160,310.00
15. Total Mar State Share Medicaid Amount $8,142.95
16. Total Apr State Share Medicaid Amount $28,448.79
17. Total May State Share Medicaid Amount $16,113.76
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC) $1,124,588.40
19. Less Adjustments for Therapeutic Foster Care
20. June Net Excess Cost Payment $1,124,588.40
23. TOTAL EXCESS COST AID (less Estimated or calc) $6,199,049.00
24. Total June State Share Medicaid Amount $25,141.77
25. Total July State Share Medicaid Amount $51,203.43
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC) $886,440.30
27. August Net Excess Cost Payment $886,440.30
28. TOTAL EXCESS COST AID $6,347,961.00
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC) $148,912.00
30. September Net Excess Cost Payment $148,912.00
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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