H|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|01|00300000026913|ANDYLEN B. LACABA|CHU, SHIRLEY B.|1990.00|1990.00|0|0|0.00|1990.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|04/12/2022|19:06:41|ANDYLEN B. LACABA|0.00||18936|04/12/2022|19:04:28|04/12/2022|19:05:11|0300010571
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|1220200001|1220200001|CONTACT LENS|0.00|0.00|1.00|0.00|0.00|0.00|CONTACT LENS|SPHERICAL|CLEAR|0|--|0.00|MONTHLY|NONE|NONE|
D|2|LUXE OPTICAL INC.|30|ROBINSON MAGNOLIA|1|190090956650|1034824280|CLEAR VISION MONTHLY S:-2.00  C:-0.00|0.00|1990.00|1.00|1990.00|1990.00|0.00|CONTACT LENS|SPHERICAL|CLEAR|0|SPHERICAL|1990.00|MONTHLY|||
CARD|SHIRLY CHU|2630|09/2023|METROBANK-VISA|1990.00|045053
READING|0300010571|||RX PRESCRIBED|DR. JACQUELINE G. FALGUERA|RIGHT||-2.00|-0.00||||FAR|||||||||||||||T
READING|0300010571|||RX PRESCRIBED|DR. JACQUELINE G. FALGUERA|LEFT||-2.00|-0.00||||FAR|||||||||||||||T