dd 2 No vrs.on OD 4-t4 vU Progressne [ 1 PRIO OS .4-11.1“ / n ct) 0 Bifocal Safety/Speda ty: OD OS Sphere Cylinder Axis Priam Add [ ) Single Vision ( 1 Progiessiye 1 j Bifocal 1 j Trifocal 1 j Delano) [ I Naar OD License # 117 1L 7 _3, i O1Di I Expires. j Match Prior: Remarks: BC O