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    Lentilles de Prescription: Fashion Frames - Contact Lenses Prescription Lenses Montures - Verres de Contact

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    Abu Sayed Md. Rashed
    This 3 sentence summary provides the key details from the invoice document: The invoice is for prescription eyeglasses and contact lenses for patient Rida Sayed from Ajax, Ontario, with a prescription date of October 10, 2019 and expiration of October 10, 2021. The items included on the invoice are a pair of kids' grey photochromic lenses for $99.99 and a pair of progressive lenses for $99.99, totaling $199.98. The invoice also lists Rida Sayed's patient and member numbers, address, phone number, optician, and doctor information.

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    © All Rights Reserved
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    Lentilles de Prescription: Fashion Frames - Contact Lenses Prescription Lenses Montures - Verres de Contact

    Uploaded by

    Abu Sayed Md. Rashed
    29 views1 page
    This 3 sentence summary provides the key details from the invoice document: The invoice is for prescription eyeglasses and contact lenses for patient Rida Sayed from Ajax, Ontario, with a prescription date of October 10, 2019 and expiration of October 10, 2021. The items included on the invoice are a pair of kids' grey photochromic lenses for $99.99 and a pair of progressive lenses for $99.99, totaling $199.98. The invoice also lists Rida Sayed's patient and member numbers, address, phone number, optician, and doctor information.

    Original Title

    rida glass

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    This 3 sentence summary provides the key details from the invoice document: The invoice is for prescription eyeglasses and contact lenses for patient Rida Sayed from Ajax, Ontario, with a prescription date of October 10, 2019 and expiration of October 10, 2021. The items included on the invoice are a pair of kids' grey photochromic lenses for $99.99 and a pair of progressive lenses for $99.99, totaling $199.98. The invoice also lists Rida Sayed's patient and member numbers, address, phone number, optician, and doctor information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views1 page

    Lentilles de Prescription: Fashion Frames - Contact Lenses Prescription Lenses Montures - Verres de Contact

    Uploaded by

    Abu Sayed Md. Rashed
    This 3 sentence summary provides the key details from the invoice document: The invoice is for prescription eyeglasses and contact lenses for patient Rida Sayed from Ajax, Ontario, with a prescription date of October 10, 2019 and expiration of October 10, 2021. The items included on the invoice are a pair of kids' grey photochromic lenses for $99.99 and a pair of progressive lenses for $99.99, totaling $199.98. The invoice also lists Rida Sayed's patient and member numbers, address, phone number, optician, and doctor information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    FASHION FRAMES - CONTACT LENSES

    - PRESCRIPTION LENSES

    MONTURES - VERRES DE CONTACT


    - LENTILLES DE PRESCRIPTION

    INVOICE DA TE I DA TE DE FACTURE INVOICE NO. I No DE FACRIWIFILE NO. I No PROFIL MEMBER NO. I No MEMBRE
    10/13/19 0261793 2020 00028632811 111876876290
    OPTICAL DEPT. I SERVICE D'OPTIQUE PATIENT
    159 AJAX SAYED, RIDA
    150 KINGSTON RD E 100 WHITE OAKS CRT APT 1505
    AJAX, ON LlZ 1E5 APT#l505
    905 619-0487 WHITBY, ON LIP IB7
    905 447-7651

    DOCTOR I DOCTEUR Rx DA TE Rx EXP. OPTICIAN I OPTIC/EN CASE I ETUI SLIP"!'RINT 1/ IMPRESSION


    Anderson 905 4278080 10/10/19 10/10/21 AA
    EYEGLASSES I LUNETTES
    i-..; SPHERE CYL. AXIS / AXE
    ':!:!,RID -2.500 170
    CH/ G +.500 -2.250 10 ·: I I' I ! , ,,:-,

    DIST. PD/ PD DIST.


    gR/D 29.0
    <:(L/ G 29.0
    r HA!iF _ I '
    SPECIAL INSTRUCTIONS I INSTRUCTIONS SPEC/ALES TOTAi IIUf;llEf< DI- ! H:HS SOL l\

    . ·_. ~ , l , l l

    .
    I
    '-,.
    • • .I
    Frame Source
    SUPPLIED

    QTY / ITEM / DESCRIPTION UNIT PRICE / EXTENSION /

    P~·o
    ARTICLE PRIX UNI. PRIX GLOB.
    QUANT.

    l 1260804 Kids Trans 7 Ply Sv Grey 99.99 99.99


    With Anti-reflective
    99.99 99.99
    ( )
    l 1340615 Turboflex Ec495 F~ 19/35
    70 45-17-1 0
    Reglstw Id
    TOTAL: 199.98
    Ill llll Ill III IIII Ill IIll II II 1111111111111111
    91 □□ 218019256 □ 17

    PATIENT

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