Service Fee Payment Receipt
| Receipt Number | 251109 |
| Service | BIRTH-CERTIFICATE |
| Payment Date | 12 Nov 2023 |
| Payment Amount | $4.00 |
| SMS Confirmation Number | 5858 |
PERSON DETAILS
| FIRST NAME | FATAH |
| SECOND NAME | MOHAMED |
| THIRD NAME | JAMA |
| FOURTH NAME | ALI |
| ADDRESS | SUWEYTO |
| CITY | BOSASO |
| REGION | BARI |