H|2|LUXE OPTICAL INC.|48|AYALA BAY AREA|01|00480000008313|MA. ANGELICA BORDAS|MOJICA, THOMAS JEREMY|8490.00|4245.00|0|4245|0.00|4245.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/20/2022|11:13:07|MA. ANGELICA BORDAS|0.00||4798|03/20/2022|10:38:01|03/20/2022|10:54:32
D|2|LUXE OPTICAL INC.|48|AYALA BAY AREA|1|2300005210519|KM1143T-1S|K.MORIYAMA KM1143T-1S 1|0.00|4245.00|1.00|8490.00|4245.00|4245.00|FRAMES|FRAMES|K.MORIYAMA|0|TITANIUM|6490.00|RIM-LESS|1|NONE|
D|2|LUXE OPTICAL INC.|48|AYALA BAY AREA|1|11162010300705|11162010300705|161ASUVEMI S:-1.75 C:-1.25|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.61 HMC|0.00|SINGLE VISION|NONE|1.61|
D|2|LUXE OPTICAL INC.|48|AYALA BAY AREA|1|11162010300809|11162010300809|161ASUVEMI S:-2.00 C:-2.25|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.61 HMC|0.00|SINGLE VISION|NONE|1.61|
CARD|RANDY B MOJICA|6219|05/2026|BPI-MC|4245.00|R14360
READING|0480001661|MOJICA, THOMAS JEREMY||RX PRESCRIBED|DR. MARISSA LIM|RIGHT|34|-2.00|-2.25|5||20/40|FAR||||||||||||||
READING|0480001661|MOJICA, THOMAS JEREMY||RX PRESCRIBED|DR. MARISSA LIM|LEFT|34|-1.75|-1.25|10||20/30|FAR||||||||||||||