New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    630918               
      GLENS FALLS COMN SD                Municipal Code:   521069701800         
      120 LAWRENCE ST                    Date of Payment:  SEP 01, 2009         
      GLENS FALLS, NY  12801-3758        Amount of Payment:             $0.00   
                                                                                
                                                                                
     2008-09 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)           $192,209.00        
 2. Total Aug State Share Medicaid Amount                                       
 3. Total Sept State Share Medicaid Amount                                      
 4. Total Oct State Share Medicaid Amount                     $10,284.00        
 5. Total Nov State Share Medicaid Amount                                       
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)       $37,768.25 
 7. December Net Excess Cost Payment                                 $37,768.25 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)           $192,388.00        
 9. Total Dec State Share Medicaid Amount                                       
10. Total Jan State Share Medicaid Amount                                       
11. Total Feb State Share Medicaid Amount                                       
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)     $86,619.35 
13. March Net Excess Cost Payment                                    $86,619.35 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)           $192,388.00        
15. Total Mar State Share Medicaid Amount                     $10,386.00        
16. Total Apr State Share Medicaid Amount                      $2,222.19        
17. Total May State Share Medicaid Amount                     $12,516.26        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)      $3,733.75 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                      $3,733.75 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)           $196,903.00        
24. Total June State Share Medicaid Amount                                      
25. Total July State Share Medicaid Amount                                      
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)         $33,373.20 
27. August Net Excess Cost Payment                                   $33,373.20 
                                                                                
28. TOTAL EXCESS COST AID                                    $196,903.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)                 
30. September Net Excess Cost Payment                                           
                                                                                
 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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