Service Fee Payment Receipt
| Receipt Number | 249417 |
| Service | BIRTH-CERTIFICATE |
| Payment Date | 23 Oct 2023 |
| Payment Amount | $4.00 |
| SMS Confirmation Number | 5858 |
PERSON DETAILS
| FIRST NAME | MOHAMED |
| SECOND NAME | ALI |
| THIRD NAME | NOUR |
| FOURTH NAME | IBRAHIM |
| ADDRESS | NEW BOSASO |
| CITY | BOSASO |
| REGION | BARI |