H|2|LUXE OPTICAL INC.|62|SM STA. MESA|01|00620000000997|MARIEL A. RAGUSTA|GALITA, JEMMIE|9990.00|9990.00|0|0|0.00|9990.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/17/2022|13:43:19|JOMILYN AVILLANOSA|0.00||563|03/17/2022|13:36:20|03/17/2022|13:36:15
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|2300046210714|PC2005N-9A|OWNDAYS PC PC2005N-9A 12A|0.00|2000.00|1.00|2000.00|2000.00|0.00|OTHERS|PC FRAME|OWNDAYS PC|0|PLASTIC|2000.00|FULL-RIM|12A|NONE|
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|LENSREP|LENSREP|LENS REPLACEMENT|0.00|2990.00|1.00|2990.00|2990.00|0.00|OTHERS|LENS REPLACEMENT|LENS REPLACEMENT|0|--|2990.00|LENS REPLACEMENT|NONE|NONE|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11162020400002|11162020400002|16ASK3ETC S:+0.00 C:-0.50|0.00|2500.00|1.00|2500.00|2500.00|0.00|LENS|ASPHERIC LENS|SV BSL|0|HKO FSV 1.61 UV420|2500.00|SINGLE VISION|NONE|1.61|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11162020400005|11162020400005|16ASK3ETC S:+0.00 C:-1.25|0.00|2500.00|1.00|2500.00|2500.00|0.00|LENS|ASPHERIC LENS|SV BSL|0|HKO FSV 1.61 UV420|2500.00|SINGLE VISION|NONE|1.61|
CARD|JEMMIE GALITA|4034|04/2023|CITI-VISA|9990.00|173389
READING|0220010560|GALITA, JEMMIE||RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|RIGHT|31.5|+0.00|-1.25|10|||FAR||||||||||||||
READING|0220010560|GALITA, JEMMIE||RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|LEFT|31.5|+0.00|-0.50|180|||FAR||||||||||||||