H|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|01|00300000027244|ANDYLEN B. LACABA|GO, ADAM MELVIN|2990.00|1990.00|0|1000|0.00|0.00|0.00|0.00|0.00|0.00|0.00|1990.00|0.00|04/25/2022|17:37:45|ARNELIN E. TITAN|0.00||19206|04/25/2022|17:09:05|04/25/2022|17:23:55|0300013613
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|LENSREP|LENSREP|LENS REPLACEMENT|0.00|2990.00|1.00|2990.00|1990.00|1000.00|OTHERS|LENS REPLACEMENT|LENS REPLACEMENT|0|--|2990.00|LENS REPLACEMENT|NONE|NONE|
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|RX SV 1.67 HMC|RX SV 1.67 HMC|RX SV 1.67 HMC|0.00|0.00|2.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|1|RX SV 1.67 HMC|0.00|SINGLE VISION|NONE|1.67|
DEFERRED||6152|01/2027|HSBC-VISA|1990.00|3|003990
READING|0300013613|||RX PRESCRIBED|DR. JONAS BRYNER L. DALIGCON|RIGHT|29|-1.00|-4.00|180|||FAR/FOP|||||||||||||||F
READING|0300013613|||RX PRESCRIBED|DR. JONAS BRYNER L. DALIGCON|LEFT|29|-0.75|-5.00|180|||FAR/FOP|||||||||||||||F