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Costco Optical, 1715 Highland / 28800 Greenspot Rd, Highland CA 92346. Invoice 410704 dated 6/18/26. Patient: Moore, David. Rx by Dr. Friedman (written 9/22/25, expires 9/22/27). Items: Bifocal St28 Poly Polar Brown W/Ar 15.99 + Police Vplt84k Matte Gunmetal frames 9.99. Total: 15.98. No insurance / no 2nd pair. Bifocal sunglasses brown. Locker pickup.