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: Sept 2, 2008
EAST PATCHOGUE, NY 11772-5598 Amount of Payment: $414,530.00
2007-08 Certificate of Excess Cost Aid for Students with Disabilities
1. TOTAL EXCESS COST AID (less Estimated or calc) $5,858,343.00
2. Total Aug State Share Medicaid Amount
3. Total Sept State Share Medicaid Amount $2,365.00
4. Total Oct State Share Medicaid Amount $67,218.00
5. Total Nov State Share Medicaid Amount $6,975.00
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid) $1,388,027.75
7. December Net Excess Cost Payment $1,388,027.75
8. TOTAL EXCESS COST AID (less Estimated or calc) $5,858,343.00
9. Total Dec State Share Medicaid Amount $1,282.00
10. Total Jan State Share Medicaid Amount $3,611.00
11. Total Feb State Share Medicaid Amount $6,353.00
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC) $2,625,008.35
13. March Net Excess Cost Payment $2,625,008.35
14. TOTAL EXCESS COST AID (less Estimated or calc) $5,858,343.00
15. Total Mar State Share Medicaid Amount
16. Total Apr State Share Medicaid Amount $4,052.65
17. Total May State Share Medicaid Amount $35,049.85
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC) $839,648.95
19. Less Adjustments for Therapeutic Foster Care
20. June Net Excess Cost Payment $839,648.95
23. TOTAL EXCESS COST AID (less Estimated or calc) $5,858,343.00
24. Total June State Share Medicaid Amount
25. Total July State Share Medicaid Amount $48,769.57
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC) $797,386.24
27. August Net Excess Cost Payment $797,386.24
28. TOTAL EXCESS COST AID $6,272,873.00
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC) $414,530.00
a. Less Charter School Recapture $32,595.64
30. September Net Excess Cost Payment $414,530.00
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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