| Date | Type | Amount | Description | Initial Balance Before | Initial Balance After | Balance Year |
|---|---|---|---|---|---|---|
| 10-10-2022 | Charge | $1140.00 | Please deactivate employee Anthony Flores #7598 effective 10/05/22 from Ameriform portal. Geralyn Jurkowski | $1140.00 | $0.00 | From 10-01-2021 to 12-31-2025 |
| 07-27-2022 | Refund | $323.31 | Allowance Balance Adjustment from Excel File provided by VIA. | $816.69 | $1140.00 | From 10-01-2021 to 12-31-2025 |
