New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    630300               
      GLENS FALLS CITY SD                Municipal Code:   520517000000         
      15 QUADE ST                        Date of Payment:  SEP 01, 2009         
      GLENS FALLS, NY  12801-2724        Amount of Payment:        $41,345.00   
                                                                                
                                                                                
     2008-09 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $3,110,022.00        
 2. Total Aug State Share Medicaid Amount                                       
 3. Total Sept State Share Medicaid Amount                                      
 4. Total Oct State Share Medicaid Amount                     $50,509.16        
 5. Total Nov State Share Medicaid Amount                     $25,170.00        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $701,826.34 
 7. December Net Excess Cost Payment                                $701,826.34 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $3,110,022.00        
 9. Total Dec State Share Medicaid Amount                     $25,648.48        
10. Total Jan State Share Medicaid Amount                     $31,826.85        
11. Total Feb State Share Medicaid Amount                      $7,407.68        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)  $1,334,626.89 
13. March Net Excess Cost Payment                                 $1,334,626.89 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $3,110,022.00        
15. Total Mar State Share Medicaid Amount                     $18,906.55        
16. Total Apr State Share Medicaid Amount                     $10,899.25        
17. Total May State Share Medicaid Amount                     $20,112.66        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $416,584.84 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $416,584.84 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $3,110,022.00        
24. Total June State Share Medicaid Amount                    $37,324.77        
25. Total July State Share Medicaid Amount                    $49,572.85        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $379,605.68 
27. August Net Excess Cost Payment                                  $379,605.68 
                                                                                
28. TOTAL EXCESS COST AID                                  $3,151,367.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)      $41,345.00 
30. September Net Excess Cost Payment                                $41,345.00 
                                                                                
 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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