| Date | Type | Amount | Description | Initial Balance Before | Initial Balance After | Balance Year |
|---|---|---|---|---|---|---|
| 02-10-2023 | Charge | $761.76 | Good afternoon, Joseph, Please deactivate and zero out employee Dominguez, Xavier #9483 effective 10/20/22 Thank you , Geralyn Jurkowski | $1069.05 | $307.29 | From 10-01-2021 to 12-31-2025 |
| 07-27-2022 | Refund | $455.00 | Allowance Balance Adjustment from Excel File provided by VIA. | $614.05 | $1069.05 | From 10-01-2021 to 12-31-2025 |
| 12-03-2021 | Refund | $11.00 | Adjustment for Raincoat not available in old req 103145 | $603.05 | $614.05 | From 10-01-2021 to 12-31-2025 |
