H|2|LUXE OPTICAL INC.|50|SM PAMPANGA|01|00500000008890|JAYVELYN DUCUT|ESCOBAR, TERESA|27990.00|13995.00|0|13995|0.00|13995.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/31/2022|13:30:51|GLORY JANE MANDAP|0.00||5217|03/31/2022|13:16:27|03/31/2022|13:24:10 D|2|LUXE OPTICAL INC.|50|SM PAMPANGA|1|LENSREP|LENSREP|LENS REPLACEMENT|0.00|1495.00|1.00|2990.00|1495.00|1495.00|OTHERS|LENS REPLACEMENT|LENS REPLACEMENT|0|--|2990.00|LENS REPLACEMENT|NONE|NONE| D|2|LUXE OPTICAL INC.|50|SM PAMPANGA|1|DIAMOND60UV420|DIAMOND60UV420|PROGRESSIVE ODPR-DIAMOND 1.60 UV 420|0.00|6250.00|2.00|18750.00|12500.00|6250.00|LENS|ASPHERIC LENS|PROG BSL|1|ODPR-DIAMOND 1.60 UV 420|12500.00|PROGRESSIVE|NONE|1.61| CARD|DANIEL ESCOBAR|1018|09/2022|EASTWEST-MC|13995.00|869688 READING|0500002522|ESCOBAR, TERESA||RX PRESCRIBED|INGRID VALERIE CRUZ|RIGHT|33|+2.75|-0.50|125|+2.50||PROGRESSIVE|||||||||||||| READING|0500002522|ESCOBAR, TERESA||RX PRESCRIBED|INGRID VALERIE CRUZ|LEFT|34|+3.50|-1.00|70|+2.50||PROGRESSIVE||||||||||||||