H|2|LUXE OPTICAL INC.|62|SM STA. MESA|01|00620000001162|MARIEL A. RAGUSTA|LANTICAN, FAYE|6980.00|6482.50|0|498|0.00|6482.50|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/31/2022|17:13:56|MELVIN BUKO|0.00||662|03/31/2022|16:11:00|03/31/2022|17:06:17
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|2300080201020|OR2045S-8S|OWNDAYS OR2045S-8S 4A|0.00|1492.50|1.00|1990.00|1492.50|497.50|FRAMES|FRAMES|OWNDAYS|0|PLASTIC|1990.00|FULL-RIM|4A|NONE|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11672010401904|11672010401904|167ASUVETC S:-4.75 C:-1.00|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.67 HMC|0.00|SINGLE VISION|NONE|1.67|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11672010402104|11672010402104|167ASUVETC S:-5.25 C:-1.00|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.67 HMC|0.00|SINGLE VISION|NONE|1.67|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|2300069191021|AF2002W-9A|AIR FIT AF2002W-9A 2|0.00|4990.00|1.00|4990.00|4990.00|0.00|FRAMES|FRAMES|AIR FIT|0|PLASTIC|4990.00|FULL-RIM|2|NONE|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|2|11672010401904|11672010401904|167ASUVETC S:-4.75 C:-1.00|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.67 HMC|0.00|SINGLE VISION|NONE|1.67|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|2|11672010402104|11672010402104|167ASUVETC S:-5.25 C:-1.00|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.67 HMC|0.00|SINGLE VISION|NONE|1.67|
CARD|FAYE VALERIE T LANTICAN|3764|01/2027|BPI-MC|6482.50|R45809
READING|0160002367|LANTICAN, FAYE|09178295578|RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|RIGHT|31.5|-4.75|-1.00|180|||FAR||||||||||||||
READING|0160002367|LANTICAN, FAYE|09178295578|RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|LEFT|31.5|-5.25|-1.00|180|||FAR||||||||||||||
READING|0160002367|LANTICAN, FAYE|09178295578|RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|RIGHT|31.5|-4.75|-1.00|180|||FAR||||||||||||||
READING|0160002367|LANTICAN, FAYE|09178295578|RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|LEFT|31.5|-5.25|-1.00|180|||FAR||||||||||||||