H|2|LUXE OPTICAL INC.|43|EVIA|01|00430000011491|JANE DELA CRUZ|ARBOLEDA, FITCH|4490.00|4490.00|0|0|0.00|0.00|0.00|0.00|0.00|0.00|4490.00|0.00|0.00|03/29/2022|13:14:17|DR. KELLY GAGAN|0.00||7138|03/29/2022|12:47:40|03/29/2022|13:10:46
D|2|LUXE OPTICAL INC.|43|EVIA|1|1220200000016|1220200000016|500 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|2300033210710|ECO2019K-1A|ECO2XY ECO2019K-1A 3|0.00|4490.00|1.00|4490.00|4490.00|0.00|FRAMES|FRAMES|ECO2XY|0|RESIN|4490.00|FULL-RIM|3|NONE|
D|2|LUXE OPTICAL INC.|43|EVIA|1|11162010300401|11162010300401|161ASUVEMI S:-1.00 C:-0.25|0.00|0.00|2.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.61 HMC|0.00|SINGLE VISION|NONE|1.61|
ATM|FITCH JOHNSON ARBOLEDA|4998|BDO-DEBIT|4490.00
READING|0430005767|ARBOLEDA, FITCH||RX PRESCRIBED|LUCY ANN JUNILLER|RIGHT|31|-1.00|-0.25|115||20/20|FAR||||||||||||||
READING|0430005767|ARBOLEDA, FITCH||RX PRESCRIBED|LUCY ANN JUNILLER|LEFT|31|-1.00|-0.25|50||20/20|FAR||||||||||||||