New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
      TREASURER                          District Code:    670201               
      ATTICA CSD                         Municipal Code:   560603700100         
      3338 E MAIN ST                     Date of Payment:  Sept 2, 2008         
      ATTICA, NY  14011-9699             Amount of Payment:       $254,870.00   
                                                                                
                                                                                
     2007-08 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)         $1,788,325.00        
 2. Total Aug State Share Medicaid Amount                      $5,025.50        
 3. Total Sept State Share Medicaid Amount                                      
 4. Total Oct State Share Medicaid Amount                                       
 5. Total Nov State Share Medicaid Amount                      $6,062.00        
 6. December Gross Payment (Line 1 X .25 - tot St Sh Medicaid)      $435,993.75 
 7. December Net Excess Cost Payment                                $435,993.75 
                                                                                
 8. TOTAL EXCESS COST AID (less Estimated or calc)         $1,788,325.00        
 9. Total Dec State Share Medicaid Amount                      $2,341.00        
10. Total Jan State Share Medicaid Amount                      $2,365.00        
11. Total Feb State Share Medicaid Amount                      $1,497.00        
12. March Gross Payment (Line 8 x .70 - tot St Sh Medicaid & EC)    $798,543.25 
13. March Net Excess Cost Payment                                   $798,543.25 
                                                                                
14. TOTAL EXCESS COST AID (less Estimated or calc)         $1,788,325.00        
15. Total Mar State Share Medicaid Amount                     $13,915.13        
16. Total Apr State Share Medicaid Amount                      $7,050.20        
17. Total May State Share Medicaid Amount                     $13,194.56        
18. June Gross Payment (Line 14 x .85 - tot St Sh Medicaid & EC)    $234,088.86 
19. Less Adjustments for Therapeutic Foster Care                                
20. June Net Excess Cost Payment                                    $234,088.86 
                                                                                
23. TOTAL EXCESS COST AID (less Estimated or calc)         $1,788,325.00        
24. Total June State Share Medicaid Amount                     $7,447.46        
25. Total July State Share Medicaid Amount                    $28,803.94        
26. August Gross Payment (Line 23 - tot St Sh Medicaid & EC)        $231,997.35 
27. August Net Excess Cost Payment                                  $231,997.35 
                                                                                
28. TOTAL EXCESS COST AID                                  $2,043,195.00        
29. September Gross Payment (Line 28 - tot St Sh Medicaid & EC)     $254,870.00 
30. September Net Excess Cost Payment                               $254,870.00 
                                                                                
 Check will be mailed under separate cover from the Division of the Treasury.   
 (ST-3 Code A3101 Basic Formula Aid - Excess Cost Only)                         
                                                                                
NYSED HOME PAGE | STATE AID HOME PAGE | DISTRICT HOME PAGE