Service Fee Payment Receipt
| Receipt Number | 251146 |
| Service | BIRTH-CERTIFICATE |
| Payment Date | 13 Nov 2023 |
| Payment Amount | $4.00 |
| SMS Confirmation Number | 5858 |
PERSON DETAILS
| FIRST NAME | SAMIRA |
| SECOND NAME | HUSSEIN |
| THIRD NAME | ALI |
| FOURTH NAME | MOHAMED |
| ADDRESS | GOLIS |
| CITY | BOSASO |
| REGION | BARI |