H|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|01|00300000027891|ANDYLEN B. LACABA|HALILI, JEFF|1990.00|1990.00|0|0|1990.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|05/18/2022|16:24:16|ARNELIN E. TITAN|0.00||19711|05/18/2022|16:20:09|05/18/2022|16:21:29|0300013903
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|190090958142|1034824249|CLEAR VISION MONTHLY S:-3.75  C:-0.00|0.00|1990.00|1.00|1990.00|1990.00|0.00|CONTACT LENS|SPHERICAL|CLEAR|0|SPHERICAL|1990.00|MONTHLY|||
READING|0300013903|||RX PRESCRIBED|DR. JACQUELINE G. FALGUERA|RIGHT||-3.75|-0.00||||FAR/FOP|||||||||||||||T
READING|0300013903|||RX PRESCRIBED|DR. JACQUELINE G. FALGUERA|LEFT||-3.75|-0.00||||FAR/FOP|||||||||||||||T