New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    630902               
      QUEENSBURY UFSD                    Municipal Code:   520669700200         
      429 AVIATION RD                    Date of Payment:  SEP 01, 2009         
      QUEENSBURY, NY  12804-2914         Amount of Payment:       $149,576.00   
                                                                                
                                                                                
     2008-09 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $2,917,842.00        
 2. Total Aug State Share Medicaid Amount                        $211.00        
 3. Total Sept State Share Medicaid Amount                     $8,850.50        
 4. Total Oct State Share Medicaid Amount                     $19,558.41        
 5. Total Nov State Share Medicaid Amount                     $18,078.48        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $682,762.11 
 7. December Net Excess Cost Payment                                $682,762.11 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $3,007,117.00        
 9. Total Dec State Share Medicaid Amount                     $35,057.23        
10. Total Jan State Share Medicaid Amount                     $27,775.16        
11. Total Feb State Share Medicaid Amount                     $23,916.43        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)  $1,288,772.58 
13. March Net Excess Cost Payment                                 $1,288,772.58 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $3,007,096.00        
15. Total Mar State Share Medicaid Amount                     $26,553.20        
16. Total Apr State Share Medicaid Amount                     $20,706.24        
17. Total May State Share Medicaid Amount                     $17,938.70        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $385,851.56 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $385,851.56 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $3,095,580.00        
24. Total June State Share Medicaid Amount                    $28,338.80        
25. Total July State Share Medicaid Amount                    $30,789.46        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $480,420.14 
27. August Net Excess Cost Payment                                  $480,420.14 
                                                                                
28. TOTAL EXCESS COST AID                                  $3,245,156.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)     $149,576.00 
30. September Net Excess Cost Payment                               $149,576.00 
                                                                                
 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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