H|2|LUXE OPTICAL INC.|43|EVIA|01|00430000011224|JOY TACBALAN|GOMEZ III, DANIEL RAFAEL RAMON Z.|9490.00|9490.00|0|0|0.00|9490.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/13/2022|10:29:09|ARSENIO E. AMANDELL|0.00||6939|03/13/2022|10:21:21|03/13/2022|10:24:06
D|2|LUXE OPTICAL INC.|43|EVIA|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.|43|EVIA|1|2300037211119|AU8003N-1A|AIR ULTEM AU8003N-1A 1|0.00|4490.00|1.00|4490.00|4490.00|0.00|FRAMES|FRAMES|AIR ULTEM|0|RESIN|4490.00|FULL-RIM|1|NONE|
D|2|LUXE OPTICAL INC.|43|EVIA|1|11162020410600|11162020410600|16ASK3ETC S:+1.50 C:-0.00|0.00|2500.00|2.00|5000.00|5000.00|0.00|LENS|ASPHERIC LENS|SV BSL|0|HKO FSV 1.61 UV420|2500.00|SINGLE VISION|NONE|1.61|
CARD|DANIEL Z. GOMEZ III|5142|11/2025|CITI BANK-MC|9490.00|414274
READING|0430005619|GOMEZ III, DANIEL RAFAEL RAMON Z.||RX PRESCRIBED|GLADYS BUENABAJO|RIGHT|31.5|+1.50|-0.00||||NEAR||||||||||||||
READING|0430005619|GOMEZ III, DANIEL RAFAEL RAMON Z.||RX PRESCRIBED|GLADYS BUENABAJO|LEFT|31.5|+1.50|-0.00||||NEAR||||||||||||||