H|2|LUXE OPTICAL INC.|62|SM STA. MESA|01|00620000001110|RHENA LAYE ORZA|BERTOL, MARIE JEANNE|5490.00|4490.00|0|1000|0.00|4490.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/26/2022|16:48:47|MARIEL A. RAGUSTA|0.00||636|03/26/2022|16:31:22|03/26/2022|16:44:51
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|2300211181122|AF1023G-8A|AIR FIT AF1023G-8A 3|0.00|5490.00|1.00|5490.00|4490.00|1000.00|FRAMES|FRAMES|AIR FIT|0|METAL|5490.00|FULL-RIM|3|NONE|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11162010300805|11162010300805|161ASUVEMI S:-2.00 C:-1.25|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|11162010301202|11162010301202|161ASUVEMI S:-3.00 C:-0.50|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|
CARD|MARIE JEANNE BERTOL|6064|06/2024|BPI-MC|4490.00|R44101
READING|0030006627|BERTOL, MARIE JEANNE|09209218365|RX PRESCRIBED|PRINCESS CLIO SANTOS|RIGHT|29|-3.00|-0.50|30|||FAR||||||||||||||
READING|0030006627|BERTOL, MARIE JEANNE|09209218365|RX PRESCRIBED|PRINCESS CLIO SANTOS|LEFT|29|-2.00|-1.25|160|||FAR||||||||||||||