H|2|LUXE OPTICAL INC.|62|SM STA. MESA|01|00620000000999|MARIEL A. RAGUSTA|MARILLA, MA. RAFAELA|2990.00|2990.00|0|0|0.00|0.00|0.00|0.00|0.00|0.00|2990.00|0.00|0.00|03/17/2022|17:22:38|JOMILYN AVILLANOSA|0.00||565|03/17/2022|17:16:53|03/17/2022|17:19:09
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|1220200000016|1220200000016|500 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|11162010300201|11162010300201|161ASUVEMI S:-0.50 C:-0.25|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.|62|SM STA. MESA|1|11162010300601|11162010300601|161ASUVEMI S:-1.50 C:-0.25|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|RAFAELA MARILLA|9546|UNIONBANK-DEBIT|2990.00
READING|0060011678|MARILLA, MA. RAFAELA||RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|RIGHT|33|-0.50|-0.25|175|||FAR||||||||||||||
READING|0060011678|MARILLA, MA. RAFAELA||RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|LEFT|33|-1.50|-0.25|175|||FAR||||||||||||||