H|2|LUXE OPTICAL INC.|62|SM STA. MESA|01|00620000000867|MARIEL A. RAGUSTA|DE VERA, KEVIN-MILNER I.|4008.93|3207.14|802|0|0.00|3207.14|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/06/2022|13:05:44|JOMILYN AVILLANOSA|0.00|PWD|486|03/06/2022|12:54:59|03/06/2022|12:56:49
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|2300062190816|JD1012K-8A|JOHN DILLINGER JD1012K-8A 3|0.00|4490.00|1.00|4008.93|3207.14|801.79|FRAMES|FRAMES|JOHN DILLINGER|0|METAL|4490.00|FULL-RIM|3|NONE|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11162010300201|11162010300201|161ASUVEMI S:-0.50 C:-0.25|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|DE VERA/ KEVIN MILER I|9774|01/2027|BPI-VISA|3207.14|058523
READING|0620000402|DE VERA, KEVIN-MILNER I.||RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|RIGHT|31.5|-0.50|-0.25|95|||FAR||||||||||||||
READING|0620000402|DE VERA, KEVIN-MILNER I.||RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|LEFT|31.5|-0.50|-0.25|45|||FAR||||||||||||||