H|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|01|00300000027791|ANDYLEN B. LACABA|CHU, SHIRLEY B.|1776.79|1421.43|355|0|0.00|1421.43|0.00|0.00|0.00|0.00|0.00|0.00|0.00|05/14/2022|19:59:39|ANDYLEN B. LACABA|0.00|SENIOR CITIZEN|19630|05/14/2022|19:56:45|05/14/2022|19:57:37|0300010571
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|1220200001|1220200001|CONTACT LENS|0.00|0.00|1.00|0.00|0.00|0.00|CONTACT LENS|SPHERICAL|CLEAR|0|--|0.00|MONTHLY|NONE|NONE|
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|190090956650|1034824280|CLEAR VISION MONTHLY S:-2.00  C:-0.00|0.00|1990.00|1.00|1776.79|1421.43|355.36|CONTACT LENS|SPHERICAL|CLEAR|0|SPHERICAL|1990.00|MONTHLY|||
CARD|SHIRLEY CHU|2630|09/2023|METROBANK-VISA|1421.43|047643
READING|0300010571|||RX PRESCRIBED|DR. JANICE LUGOD|RIGHT||-2.00|-0.00||||FAR/FOP|||||||||||||||T
READING|0300010571|||RX PRESCRIBED|DR. JANICE LUGOD|LEFT|||||||FAR/FOP|||||||||||||||T