H|2|LUXE OPTICAL INC.|62|SM STA. MESA|01|00620000000873|MARIEL A. RAGUSTA|REPE, ALEXA|1495.00|1495.00|0|0|1495.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/06/2022|16:16:13|MARIEL A. RAGUSTA|0.00||491|03/06/2022|16:12:48|03/06/2022|16:14:21
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|SINGLELENS|SINGLELENS|SINGLE LENS REPLACEMENT|0.00|1495.00|1.00|1495.00|1495.00|0.00|OTHERS|LENS REPLACEMENT|LENS REPLACEMENT|0|--|1495.00|LENS REPLACEMENT|NONE|NONE|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11672010402005|11672010402005|167ASUVETC S:-5.00 C:-1.25|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.67 HMC|0.00|SINGLE VISION|NONE|1.67|
READING|0300009326|REPE, ALEXA|7134010|RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|RIGHT|32|-5.00|-1.25|180|||FAR||||||||||||||
READING|0300009326|REPE, ALEXA|7134010|RX PRESCRIBED|DR. JONAS BRYNER DALIGCON|LEFT|||||||FAR||||||||||||||