New York State Education Department
Office of Management Services
State Aid Unit
(518) 474-2977
TREASURER District Code: 660405
ARDSLEY UFSD Municipal Code: 550634200500
500 FARM RD Date of Payment: Sept 2, 2008
ARDSLEY, NY 10502-1410 Amount of Payment: $14,273.00
2007-08 Certificate of Excess Cost Aid for Students with Disabilities
1. TOTAL EXCESS COST AID (less Estimated or calc) $698,590.00
2. Total Aug State Share Medicaid Amount $6,091.50
3. Total Sept State Share Medicaid Amount
4. Total Oct State Share Medicaid Amount
5. Total Nov State Share Medicaid Amount
6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid) $168,556.00
7. December Net Excess Cost Payment $168,556.00
8. TOTAL EXCESS COST AID (less Estimated or calc) $821,303.00
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) $400,264.60
13. March Net Excess Cost Payment $400,264.60
14. TOTAL EXCESS COST AID (less Estimated or calc) $839,856.00
15. Total Mar State Share Medicaid Amount $5,867.10
16. Total Apr State Share Medicaid Amount $4,116.67
17. Total May State Share Medicaid Amount $12.67
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC) $128,969.06
19. Less Adjustments for Therapeutic Foster Care
20. June Net Excess Cost Payment $128,969.06
23. TOTAL EXCESS COST AID (less Estimated or calc) $839,856.00
24. Total June State Share Medicaid Amount
25. Total July State Share Medicaid Amount $1,334.00
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC) $124,644.40
27. August Net Excess Cost Payment $124,644.40
28. TOTAL EXCESS COST AID $854,129.00
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC) $14,273.00
30. September Net Excess Cost Payment $14,273.00
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)
NYSED HOME PAGE | STATE AID HOME PAGE | DISTRICT HOME PAGE