H|2|LUXE OPTICAL INC.|55|LUCKY CHINATOWN|01|00550000005056|MELBA ESER|SEVILLA, ROXANNE|7133.93|5707.14|1427|0|0.00|5707.14|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/11/2022|16:38:17|MELBA ESER|0.00|PWD|2441|03/11/2022|16:34:31|03/11/2022|16:35:42
D|2|LUXE OPTICAL INC.|55|LUCKY CHINATOWN|1|1220200000023|1220200000023|1000 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.|55|LUCKY CHINATOWN|1|LENSREP|LENSREP|LENS REPLACEMENT|0.00|2990.00|1.00|2669.63|2135.70|533.93|OTHERS|LENS REPLACEMENT|LENS REPLACEMENT|0|--|2990.00|LENS REPLACEMENT|NONE|NONE|
D|2|LUXE OPTICAL INC.|55|LUCKY CHINATOWN|1|11162020400601|11162020400601|16ASK3ETC S:-1.50 C:-0.25|0.00|2500.00|1.00|2232.14|1785.71|446.43|LENS|ASPHERIC LENS|SV BSL|0|HKO FSV 1.61 UV420|2500.00|SINGLE VISION|NONE|1.61|
D|2|LUXE OPTICAL INC.|55|LUCKY CHINATOWN|1|11162020400602|11162020400602|16ASK3ETC S:-1.50 C:-0.50|0.00|2500.00|1.00|2232.14|1785.71|446.43|LENS|ASPHERIC LENS|SV BSL|0|HKO FSV 1.61 UV420|2500.00|SINGLE VISION|NONE|1.61|
CARD|SEVILLA ROXANNE|5890|02/2025|METROBANK-VISA|5707.14|068449
READING|0270003733|SEVILLA, ROXANNE|023481678|RX PRESCRIBED|DR. TERESITA VARGAS|RIGHT|31|-1.50|-0.25|155||20/20-2|FAR||||||||||||||
READING|0270003733|SEVILLA, ROXANNE|023481678|RX PRESCRIBED|DR. TERESITA VARGAS|LEFT|31|-1.50|-0.50|165||20/20-2|FAR||||||||||||||