H|2|LUXE OPTICAL INC.|62|SM STA. MESA|01|00620000000897|MARIEL A. RAGUSTA|TIBAYAN, MARISSA|4990.00|4990.00|0|0|0.00|4990.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/08/2022|12:01:07|JOMILYN AVILLANOSA|0.00||505|03/08/2022|11:37:22|03/08/2022|11:58:02
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|2300102190721|AU2054T-9S|AIR ULTEM AU2054T-9S 2|0.00|4990.00|1.00|4990.00|4990.00|0.00|FRAMES|FRAMES|AIR ULTEM|0|PLASTIC|4990.00|FULL-RIM|2|NONE|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11742010403805|11742010403805|174ASUVETC S:-9.50 C:-1.25|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.74 HMC|0.00|SINGLE VISION|NONE|1.74|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11742010404003|11742010404003|174ASUVETC S:-10.00 C:-0.75|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.74 HMC|0.00|SINGLE VISION|NONE|1.74|
CARD|MARISSA F TIBAYAN|8827|04/2025|BPI-MC|4990.00|R72846
READING|0300001592|TIBAYAN, MARISSA||RX PRESCRIBED|DR. LAURENCE GERONIMO|RIGHT|33|-10.00|-0.75|90|||FAR||||||||||||||
READING|0300001592|TIBAYAN, MARISSA||RX PRESCRIBED|DR. LAURENCE GERONIMO|LEFT|33|-9.50|-1.25|65|||FAR||||||||||||||