Service Fee Payment Receipt
| Receipt Number | 249042 |
| Service | BIRTH-CERTIFICATE |
| Payment Date | 18 Oct 2023 |
| Payment Amount | $4.00 |
| SMS Confirmation Number | 5858 |
PERSON DETAILS
| FIRST NAME | JAMA |
| SECOND NAME | ABDIRISAK |
| THIRD NAME | MOHAMUD |
| FOURTH NAME | JAMA |
| ADDRESS | BALADE |
| CITY | BOSASO |
| REGION | BARI |