Republic of the Philippines

Department of Health
Food And Drug Administration
Civic Drive, Filinvest Corporate City 
Alabang, Muntinlupa City

Order of Payment
General Information
Account Code: 3000002429950
Product Center: Food
Authorization: License To Operate
Type: Renewal
Primary Activity: Trader
LTO No. (If applicable): Not Applicable
Expiry (If applicable): 2019-11-09
 
Establishment Information
Company Name: MAXIMUM 88 CORPORATION
Owner: MAXIMUM 88 CORPORATION
Declared Capital: 250K and Below
Site Address (if applicable): Not Applicable
MS-301 A & MS-309, 3rd Floor, Pavilion Building, Greenfield
Office Address (if applicable): District, Mandaluyong, Metro Manila, National Capital Region,
1550
Plant Address (if applicable): Not Applicable
List of Warehouses (if applicable):
Address
MS-301 A & MS-309, 3rd FLOOR, PAVILION BUILDING, GREENFIELD DISTRICT,
MANDALUYONG CITY , Mandaluyong, Metro Manila, 1550
  
Details of the Approving Authority
Fullname: JUGUETA, PATRICIO EMMANUEL CASTRO
Designation: CEO/ President/ General Manager
MS-301 A & MS-309, 3rd FLOOR, PAVILION BUILDING,
Mailing Address: GREENFIELD DISTRICT, Mandaluyong, Metro Manila,
National Capital Region, 1550
  
Details of the Qualified Personnel
Fullname Designation TIN Email Government ID
Bureau of Immigration
GEORGE, Authorized (Alien
dr.joelgeorge@gmail.com
JOEL Representative Registration): F0000238423
(2019-10-30)
  
Payment Details
Application Fee: 2,500.00
Number of Years Applied: 5
Surcharge (if any): 5,250.00
Legal Research Fund (LRF): 10.00
Total Amount: Php 7,760.00

If payment is made using Bancnet Online Bills Payment Facility (www.bancnetonline.com), an

additional Php15.00 should be included to the amount due.

BancNet Payment: Php 7,775.00  

Remarks: Renewal, Computation is Valid Until 09 December 2019