H|2|LUXE OPTICAL INC.|54|SM MINDPRO CITIMALL|01|00540000004204|MIKE ADRIAN ABDULGAFUR|SOLIVEN, MAXINE|2990.00|1990.00|0|1000|0.00|0.00|0.00|0.00|0.00|0.00|1990.00|0.00|0.00|03/28/2022|17:32:10|FLORENCIO BARRIENTOS|0.00||1960|03/28/2022|17:25:12|03/28/2022|17:27:49
D|2|LUXE OPTICAL INC.|54|SM MINDPRO CITIMALL|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.|54|SM MINDPRO CITIMALL|1|11162010310202|11162010310202|161ASUVEMI S:+0.50 C:-0.50|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.|54|SM MINDPRO CITIMALL|1|11162010310203|11162010310203|161ASUVEMI S:+0.50 C:-0.75|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|
ATM|MAXINE SOLIVEN|9976|BPI-DEBIT|1990.00
READING|0540001406|SOLIVEN, MAXINE||RX PRESCRIBED|RANDY SENGA|RIGHT|31.5|+0.50|-0.75|170||20/20|NEAR||||||||||||||
READING|0540001406|SOLIVEN, MAXINE||RX PRESCRIBED|RANDY SENGA|LEFT|31.5|+0.50|-0.50|175||20/20|NEAR||||||||||||||