H|2|LUXE OPTICAL INC.|60|SM GRAND CENTRAL|01|00600000001109|JOHN FRED TASAN|CARLOS, SAMANTHA.|1990.00|1990.00|0|0|0.00|1990.00|0.00|0.00|0.00|0.00|0.00|0.00|0.00|03/22/2022|15:00:03|RAYMOND BARROA|0.00||580|03/22/2022|14:56:46|03/22/2022|14:57:49
D|2|LUXE OPTICAL INC.|60|SM GRAND CENTRAL|1|2300076201027|OR2044S-8S|OWNDAYS OR2044S-8S 1A|0.00|1990.00|1.00|1990.00|1990.00|0.00|FRAMES|FRAMES|OWNDAYS|0|PLASTIC|1990.00|FULL-RIM|1A|NONE|
D|2|LUXE OPTICAL INC.|60|SM GRAND CENTRAL|1|11162010301102|11162010301102|161ASUVEMI S:-2.75 C:-0.50|0.00|0.00|2.00|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|MA. THERESA C. CARLOS|6354|10/2025|UNIONBANK-VISA|1990.00|0221254
READING|0600000513|CARLOS, SAMANTHA.||BEST CORRECTION|DR. JESSICA PALATTAO|RIGHT|29|-2.75|-1.00|175||20/20|||||||||||||||
READING|0600000513|CARLOS, SAMANTHA.||BEST CORRECTION|DR. JESSICA PALATTAO|LEFT|29|-2.75|-1.00|180||20/20|||||||||||||||
READING|0600000513|CARLOS, SAMANTHA.||RX PRESCRIBED|DR. JESSICA PALATTAO|RIGHT|29|-2.75|-0.50|175||20/25|FAR||||||||||||||
READING|0600000513|CARLOS, SAMANTHA.||RX PRESCRIBED|DR. JESSICA PALATTAO|LEFT|29|-2.75|-0.50|180||20/25|FAR||||||||||||||