H|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|01|00300000026747|CHRISTINE JOY GARCERA|LEE, MICHAEL P.|0.00|0.00|0|0|0.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|04/07/2022|18:06:38|CHRISTINE JOY GARCERA|0.00||18805|04/07/2022|17:47:23|04/07/2022|17:59:36|0290005983
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|SINGLELENS|SINGLELENS|SINGLE LENS REPLACEMENT|0.00|0.00|1.00|0.00|0.00|0.00|OTHERS|LENS REPLACEMENT|LENS REPLACEMENT|0|--|1495.00|LENS REPLACEMENT|NONE|NONE|
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|0136968401|0136968401|FSV 1.61 AS UV HMC S:-2.00 C:-0.75|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|OSP FSV 1.61 AS WHITE HMC|0.00|SINGLE VISION|NONE|1.61|
READING|0290005983|||RX PRESCRIBED|DR. JACQUELINE G. FALGUERA|RIGHT|||||||FAR|||||||||||||||F
READING|0290005983|||RX PRESCRIBED|DR. JACQUELINE G. FALGUERA|LEFT|32|-2.00|-0.75|85|||FAR|||||||||||||||F