H|2|LUXE OPTICAL INC.|62|SM STA. MESA|01|00620000000903|MARIEL A. RAGUSTA|MORABE, MA. ANTONNETE G.|5348.21|4278.57|1070|0|0.00|4278.57|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/08/2022|16:40:54|JOMILYN AVILLANOSA|0.00|PWD|511|03/08/2022|15:43:54|03/08/2022|16:37:48
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|2300013201226|MM1012B-0A|OWNDAYS MEMORY METAL MM1012B-0A 1|0.00|5990.00|1.00|5348.21|4278.57|1069.64|FRAMES|FRAMES|OWNDAYS MEMORY METAL|0|STAINLESS|5990.00|FULL-RIM|1|NONE|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11672010402802|11672010402802|167ASUVETC S:-7.00 C:-0.50|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|11672010402804|11672010402804|167ASUVETC S:-7.00 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|MA ANTONNETE|5701|11/2026|METROBANK-MC|4278.57|029711
READING|0070015830|MORABE, MA. ANTONNETE G.|09178565091|RX PRESCRIBED|DR. LAURENCE GERONIMO|RIGHT|32|-7.00|-0.50|165|||FAR||||||||||||||
READING|0070015830|MORABE, MA. ANTONNETE G.|09178565091|RX PRESCRIBED|DR. LAURENCE GERONIMO|LEFT|33.5|-7.00|-1.00|5|||FAR||||||||||||||