H|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|01|00300000027903|ANDYLEN B. LACABA|PACIFICADOR, JULIA|1990.00|1990.00|0|0|0.00|1990.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|05/18/2022|18:46:56|ANDYLEN B. LACABA|0.00||19722|05/18/2022|18:44:28|05/18/2022|18:45:39|0190027554
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|190090958241|1034824196|CLEAR VISION MONTHLY S:-7.50  C:-0.00|0.00|1990.00|1.00|1990.00|1990.00|0.00|CONTACT LENS|SPHERICAL|CLEAR|0|SPHERICAL|1990.00|MONTHLY|||
CARD|TERESA PACIFICADOR|9695|01/2025|HSBC-VISA|1990.00|005573
READING|0190027554|||RX PRESCRIBED|DR. KATHRYN ANN D. LINDAIN|RIGHT||-7.50|-0.00||||FAR|||||||||||||||T
READING|0190027554|||RX PRESCRIBED|DR. KATHRYN ANN D. LINDAIN|LEFT||-7.50|-0.00||||FAR|||||||||||||||T