Lens Design Ltd. Phone # (416) 233–7273 2875 Bloor St. W Fax # (416) 233–8094 Toronto, On GST # 105753230 M8X 1B3 www.lensdesign.ca e–mail cp@lensdesign.ca ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– EYEGLASS ORDER ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– Date Time 03/22/2007 12:07:56 PM For Client Doe, John Client # 6242 Order # 6242 – 3454 Tray # ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– Rx Information Multifocal Rx Sph Cyl Axis Prism Front BC Right –1.00 –1.00 180 Left –1.25 –1.00 180 Add Seg H Seg W OC H Right +2.00 22 mm Left +2.00 22 mm Far PD 65 Near PD 62 ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– Lens Details Supplier Acme Plus Account 1914 Store # 1 R Lens Type Progressive Comfort L Lens Type Progressive Comfort Additional Ar Sc ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– Frame Details Supplier Acme Frame Ltd. Account 2200 Store # 1 Frame Georgette Super Frame 1310 Colour Abrn Eye Size 48 Bridge 18 Temple 135 Frame Size A: B: ED: DBL: Frame Notes