H|2|LUXE OPTICAL INC.|60|SM GRAND CENTRAL|01|00600000001202|JENNY ROSE ORDANZA|GOMEZ, REBELLA SHANE|5490.00|5490.00|0|0|0.00|0.00|0.00|0.00|0.00|0.00|5490.00|0.00|0.00|03/28/2022|18:41:09|JOHN FRED TASAN|0.00||631|03/28/2022|18:08:08|03/28/2022|18:38:10
D|2|LUXE OPTICAL INC.|60|SM GRAND CENTRAL|1|1220200000023|1220200000023|1000 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.|60|SM GRAND CENTRAL|1|2300003200727|AU2080T-0S|ULTEM CLASSIC AU2080T-0S 3|0.00|5490.00|1.00|5490.00|5490.00|0.00|FRAMES|FRAMES|ULTEM CLASSIC|0|STAINLESS|5490.00|FULL-RIM|3|NONE|
D|2|LUXE OPTICAL INC.|60|SM GRAND CENTRAL|1|11162010300803|11162010300803|161ASUVEMI S:-2.00 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|
D|2|LUXE OPTICAL INC.|60|SM GRAND CENTRAL|1|11162010301103|11162010301103|161ASUVEMI S:-2.75 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|
ATM|RUBELLA SHANE A. GOMEZ|7608|BDO-DEBIT|5490.00
READING|0600000554|GOMEZ, REBELLA SHANE||RX PRESCRIBED|DR. JESSICA PALATTAO|RIGHT|33|-2.75|-0.75|90||20/25|FAR||||||||||||||
READING|0600000554|GOMEZ, REBELLA SHANE||RX PRESCRIBED|DR. JESSICA PALATTAO|LEFT|33|-2.00|-0.75|110||20/20-|FAR||||||||||||||