Service Fee Payment Receipt
| Receipt Number | 249076 |
| Service | BIRTH-CERTIFICATE |
| Payment Date | 19 Oct 2023 |
| Payment Amount | $4.00 |
| SMS Confirmation Number | 8957 |
PERSON DETAILS
| FIRST NAME | ABDISAMED |
| SECOND NAME | MOHAMUD |
| THIRD NAME | MOHAMED |
| FOURTH NAME | ELMI |
| ADDRESS | NEW BOSASO |
| CITY | BOSASO |
| REGION | BARI |