H|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|01|00300000028049|ANDYLEN B. LACABA|COLAYCO, KRISTINE|1990.00|1990.00|0|0|0.00|1990.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|05/23/2022|19:36:28|ANDYLEN B. LACABA|0.00||19841|05/23/2022|19:27:53|05/23/2022|19:31:47|0290005628
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|190090958333|1034824237|CLEAR VISION MONTHLY S:-4.50  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|JOSE T COLAYCO|7131|03/2024|CITI BANK-VISA|1990.00|009652
READING|0290005628|||RX PRESCRIBED|DR. MARK DAVIN APUYAN|RIGHT||-4.50|-0.00||||FAR|||||||||||||||T
READING|0290005628|||RX PRESCRIBED|DR. MARK DAVIN APUYAN|LEFT||-4.50|-0.00||||FAR|||||||||||||||T