H|2|LUXE OPTICAL INC.|62|SM STA. MESA|01|00620000001000|MARIEL A. RAGUSTA|URSABIA, NATHAN|7990.00|7990.00|0|0|0.00|7990.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/17/2022|17:53:29|JOMILYN AVILLANOSA|0.00||566|03/17/2022|17:27:35|03/17/2022|17:50:01
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|11162020400001|11162020400001|16ASK3ETC S:+0.00 C:-0.25|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|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11162020400201|11162020400201|16ASK3ETC S:-0.50 C:-0.25|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|FLOREEN V URSABIA|8174|03/2027|BPI-MC|7990.00|R44042
READING|0620000456|URSABIA, NATHAN||RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|RIGHT|34|-0.50|-0.25|10|||FAR||||||||||||||
READING|0620000456|URSABIA, NATHAN||RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|LEFT|34|+0.00|-0.25|10|||FAR||||||||||||||