H|2|LUXE OPTICAL INC.|62|SM STA. MESA|01|00620000000918|MARIEL A. RAGUSTA|DE LARA, ELIZA MARGARET|2990.00|2990.00|0|0|0.00|2990.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/09/2022|17:27:42|MELVIN BUKO|0.00||522|03/09/2022|17:17:04|03/09/2022|17:23:06
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|LENSREP|LENSREP|LENS REPLACEMENT|0.00|2990.00|1.00|2990.00|2990.00|0.00|OTHERS|LENS REPLACEMENT|LENS REPLACEMENT|0|--|2990.00|LENS REPLACEMENT|NONE|NONE|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11162010301102|11162010301102|161ASUVEMI S:-2.75 C:-0.50|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.61 HMC|0.00|SINGLE VISION|NONE|1.61|
D|2|LUXE OPTICAL INC.|62|SM STA. MESA|1|11162010301202|11162010301202|161ASUVEMI S:-3.00 C:-0.50|0.00|0.00|1.00|0.00|0.00|0.00|LENS|ASPHERIC LENS|SV HMC|0|HKO FSV 1.61 HMC|0.00|SINGLE VISION|NONE|1.61|
CARD|ELIZA M A DE LARA|6101|01/2023|RCBC-MC|2990.00|918647
READING|0300009013|DE LARA, ELIZA MARGARET||RX PRESCRIBED|DR. LAURENCE GERONIMO|RIGHT|32|-2.75|-0.50|180|||FAR/FOP||||||||||||||
READING|0300009013|DE LARA, ELIZA MARGARET||RX PRESCRIBED|DR. LAURENCE GERONIMO|LEFT|32|-3.00|-0.50|180|||FAR/FOP||||||||||||||