H|2|LUXE OPTICAL INC.|62|SM STA. MESA|01|00620000000949|MARIEL A. RAGUSTA|DIAZ, MYRNA G.|8919.64|7135.71|1784|0|0.00|7135.71|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/12/2022|18:42:08|MARIEL A. RAGUSTA|0.00|SENIOR CITIZEN|538|03/12/2022|18:37:14|03/12/2022|18:39:37
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|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.|62|SM STA. MESA|1|2300019190821|AU2056T-9S|AIR ULTEM AU2056T-9S 3|0.00|4990.00|1.00|4455.36|3564.29|891.07|FRAMES|FRAMES|AIR ULTEM|0|PLASTIC|4990.00|FULL-RIM|3|NONE|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|RXSV161TRBRN|RXSV161TRBRN|RX 1.61 TR BROWN|0.00|2500.00|2.00|4464.28|3571.42|892.86|LENS|ASPHERIC LENS|SV TRANS|1|RX 1.61 TR BROWN|2500.00|SINGLE VISION|NONE|1.61|
CARD|DIAZ/MYRNA G|0915|07/2023|SECURITYBANK-MC|7135.71|083655
READING|0620000436|DIAZ, MYRNA G.||RX PRESCRIBED|DR. LAURENCE GERONIMO|RIGHT|30.5|-2.25|-1.50|88|||FAR/FOP||||||||||||||
READING|0620000436|DIAZ, MYRNA G.||RX PRESCRIBED|DR. LAURENCE GERONIMO|LEFT|29.5|-2.00|-1.50|85|||FAR/FOP||||||||||||||