| Date | Type | Amount | Description | Initial Balance Before | Initial Balance After | Balance Year |
|---|---|---|---|---|---|---|
| 02-23-2023 | Charge | $2.67 | Good afternoon, Joseph, Please deactivate and zero out employee ADRIAN B. ROBLEDO, effective 12-07-22 from Ameriform portal Thank you , Geralyn Jurkowski | $599.69 | $597.02 | From 10-01-2021 to 12-31-2025 |
| 07-27-2022 | Refund | $227.50 | Allowance Balance Adjustment from Excel File provided by VIA. | $372.19 | $599.69 | From 10-01-2021 to 12-31-2025 |
