H|2|LUXE OPTICAL INC.|62|SM STA. MESA|01|00620000000865|MARIEL A. RAGUSTA|RIVERA, JULIENNE ANTOINETTE|2990.00|1990.00|0|1000|0.00|1990.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/06/2022|11:20:24|ALLAN KENNETH NUNEZ|0.00||484|03/06/2022|11:18:03|03/06/2022|11:19:04
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|LENSREP|LENSREP|LENS REPLACEMENT|0.00|2990.00|1.00|2990.00|1990.00|1000.00|OTHERS|LENS REPLACEMENT|LENS REPLACEMENT|0|--|2990.00|LENS REPLACEMENT|NONE|NONE|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11162010301604|11162010301604|161ASUVEMI S:-4.00 C:-1.00|0.00|0.00|2.00|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|J RIVERA|8328|07/2025|CITI-MC|1990.00|992965
READING|0300003956|RIVERA, JULIENNE ANTOINETTE||RX PRESCRIBED|DR. JASMIN BERONIO|RIGHT|32|-4.00|-1.00|175|||FAR||||||||||||||
READING|0300003956|RIVERA, JULIENNE ANTOINETTE||RX PRESCRIBED|DR. JASMIN BERONIO|LEFT|32|-4.00|-1.00|175|||FAR||||||||||||||