DOJ-OGR-00026454.jpg

The image shows a piece of paper with printed content and handwritten annotations. At the top, there's a header that includes a logo and some text, possibly indicating an organization or department name. Below this is a table with columns containing figures and percentages, related to financial data such as "Amount Due," "Receipt Amount," "Refund Amount," "Overpayment," and "Underpayment." The figures are accompanied by notes, likely explanations or adjustments made in handwriting within the table cells. At the bottom of the page, there is a footer with additional information that seems to be related to the document's purpose or source. Due to the resolution, specific numbers and text details are not clear.