| Date | Type | Amount | Description | Initial Balance Before | Initial Balance After | Balance Year |
|---|---|---|---|---|---|---|
| 10-31-2022 | Charge | $1002.90 | Good morning, Joseph ***revert TYPO MADE BY jnaffah*** Please deactivate employee Gloria Garcia #23855 effective 10-25-22 from Ameriform portal. | $1206.11 | $203.21 | From 10-01-2021 to 12-31-2025 |
| 10-31-2022 | Refund | $501.45 | Good morning, Joseph Please deactivate employee Gloria Garcia #23855 effective 10-25-22 from Ameriform portal. Geralyn Jurkowski | $704.66 | $1206.11 | From 10-01-2021 to 12-31-2025 |
| 07-27-2022 | Refund | $435.00 | Allowance Balance Adjustment from Excel File provided by VIA. | $269.66 | $704.66 | From 10-01-2021 to 12-31-2025 |
| 05-09-2022 | Charge | $887.73 | Allowance Balance Adjustment from Excel File provided by VIA. | $1157.39 | $269.66 | From 10-01-2021 to 12-31-2025 |
| 03-21-2022 | Refund | $1096.36 | AS PER ROSENA 3/16/22 | $61.03 | $1157.39 | From 10-01-2021 to 12-31-2025 |
