H|2|LUXE OPTICAL INC.|43|EVIA|01|00430000011280|JOY TACBALAN|SAN JOSE, MARY ANNE|2990.00|1990.00|0|1000|0.00|0.00|0.00|0.00|0.00|0.00|0.00|1990.00|0.00|03/17/2022|11:48:43|ROSELYN IGUID|0.00||6978|03/17/2022|11:39:28|03/17/2022|11:44:07 D|2|LUXE OPTICAL INC.|43|EVIA|1|LENSREP|LENSREP|LENS REPLACEMENT|0.00|2990.00|1.00|2990.00|1990.00|1000.00|OTHERS|LENS REPLACEMENT|LENS REPLACEMENT|0|--|2990.00|LENS REPLACEMENT|NONE|NONE| D|2|LUXE OPTICAL INC.|43|EVIA|1|11672010401901|11672010401901|167ASUVETC S:-4.75 C:-0.25|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.67 HMC|0.00|SINGLE VISION|NONE|1.67| D|2|LUXE OPTICAL INC.|43|EVIA|1|11672010402101|11672010402101|167ASUVETC S:-5.25 C:-0.25|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.67 HMC|0.00|SINGLE VISION|NONE|1.67| DEFERRED||5113|09/2023|BDO-MC|1990.00|6|353516 READING|0430005645|SAN JOSE, MARY ANNE||RX PRESCRIBED|GLADYS BUENABAJO|RIGHT|32|-4.75|-0.25|150||20/20|FAR|||||||||||||| READING|0430005645|SAN JOSE, MARY ANNE||RX PRESCRIBED|GLADYS BUENABAJO|LEFT|32|-5.25|-0.25|180||20/20|FAR||||||||||||||