H|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|01|00300000027815|CHRISTINE JOY GARCERA|ANTONIO GABRIEL S. SAMSON|10490.00|10490.00|0|0|0.00|10490.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|05/15/2022|14:57:11|ARNELIN E. TITAN|0.00||19649|05/15/2022|14:31:20|05/15/2022|14:47:40|0090002929
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|1220200000023|1220200000023|1000 DISCOUNT COUPON|0.00|0.00|1.00|0.00|0.00|0.00|OTHERS|COUPON|COUPON|0|NONE|0.00|NONE|NONE|NONE|
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|2300009200325|MM1003B-0S|OWNDAYS MEMORY METAL MM1003B-0S 1|0.00|5490.00|1.00|5490.00|5490.00|0.00|FRAMES|FRAMES|OWNDAYS MEMORY METAL|0|STAINLESS|5490.00|FULL-RIM|1|NONE|
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|FSV167UV420|FSV167UV420|FSV 1.67 UV420|0.00|2500.00|2.00|5000.00|5000.00|0.00|LENS|ASPHERIC LENS|SV BSL|1|FSV 1.67 UV420|2500.00|SINGLE VISION|NONE|1.67|
CARD|RACELIS S SAMSON|2015|07/2024|RCBC-MC|10490.00|820526
READING|0090002929|ANTONIO GABRIEL S. SAMSON|09178579218|RX PRESCRIBED|DR. JONAS BRYNER L. DALIGCON|RIGHT|31.5|-4.75|-0.25|175|||FAR|||||||||||||||F
READING|0090002929|ANTONIO GABRIEL S. SAMSON|09178579218|RX PRESCRIBED|DR. JONAS BRYNER L. DALIGCON|LEFT|31.5|-5.00|-0.75|180|||FAR|||||||||||||||F