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Invoice #5134

Rx Prescription

R +4.25

L +4.25   

Power Reading +2.75

 

Material Prescription

Bifocal Polycarbonate $240

Over-Power $50

Groove $40

Total before Discounts- $360

 

Store Credit- $85

Discounts- $40

 

New Balance-$235

 

Example Invoice #5134

$235.00Price
Quantity
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