New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    580501               
      BAY SHORE UFSD                     Municipal Code:   470642100100         
      75 W PERKAL ST                     Date of Payment:  Sept 2, 2008         
      BAY SHORE, NY  11706-6696          Amount of Payment:       $284,683.00   
                                                                                
                                                                                
     2007-08 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)                              
 2. Total Aug State Share Medicaid Amount                      $1,776.50        
 3. Total Sept State Share Medicaid Amount                     $8,398.00        
 4. Total Oct State Share Medicaid Amount                     $14,707.50        
 5. Total Nov State Share Medicaid Amount                      $8,649.50        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)                  
 7. December Net Excess Cost Payment                                            
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $5,747,724.00        
 9. Total Dec State Share Medicaid Amount                                       
10. Total Jan State Share Medicaid Amount                      $9,951.50        
11. Total Feb State Share Medicaid Amount                      $6,218.00        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)  $3,973,705.80 
13. March Net Excess Cost Payment                                 $3,973,705.80 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $5,747,724.00        
15. Total Mar State Share Medicaid Amount                     $17,552.00        
16. Total Apr State Share Medicaid Amount                     $12,851.00        
17. Total May State Share Medicaid Amount                     $28,986.00        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $802,769.60 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $802,769.60 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $5,747,724.00        
24. Total June State Share Medicaid Amount                    $45,565.00        
25. Total July State Share Medicaid Amount                    $39,247.50        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $777,346.10 
27. August Net Excess Cost Payment                                  $777,346.10 
                                                                                
28. TOTAL EXCESS COST AID                                  $6,032,407.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)     $284,683.00 
30. September Net Excess Cost Payment                               $284,683.00 
                                                                                
 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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