H|2|LUXE OPTICAL INC.|58|FISHER MALL|01|00580000002891|ANGELICA MAQUILAN|MANTILIA, RYAN OLSEN|4008.93|3207.14|802|0|0.00|3207.14|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/31/2022|16:48:36|CHRISTOPHER BILAW|0.00|PWD|1369|03/31/2022|16:08:36|03/31/2022|16:26:59
D|2|LUXE OPTICAL INC.|58|FISHER MALL|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.|58|FISHER MALL|1|2300037211119|AU8003N-1A|AIR ULTEM AU8003N-1A 1|0.00|4490.00|1.00|4008.93|3207.14|801.79|FRAMES|FRAMES|AIR ULTEM|0|RESIN|4490.00|FULL-RIM|1|NONE|
D|2|LUXE OPTICAL INC.|58|FISHER MALL|1|11162010300502|11162010300502|161ASUVEMI S:-1.25 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.|58|FISHER MALL|1|11162010300503|11162010300503|161ASUVEMI S:-1.25 C:-0.75|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|ROMEO MANTILLA JR|5023|02/2024|BPI-MC|3207.14|R53579
READING|0580001097|MANTILIA, RYAN OLSEN||RX PRESCRIBED|DR. JANICE LUGOD|RIGHT|33|-1.25|-0.50|170||20/20|FAR||||||||||||||
READING|0580001097|MANTILIA, RYAN OLSEN||RX PRESCRIBED|DR. JANICE LUGOD|LEFT|32|-1.25|-0.75|180||20/20|FAR||||||||||||||