Service Fee Payment Receipt
| Receipt Number | 251456 |
| Service | BIRTH-CERTIFICATE |
| Payment Date | 18 Nov 2023 |
| Payment Amount | $4.00 |
| SMS Confirmation Number | 5858 |
PERSON DETAILS
| FIRST NAME | BASHIR |
| SECOND NAME | MOHAMED |
| THIRD NAME | DUALE |
| FOURTH NAME | FARAH |
| ADDRESS | LANTA HAWADA |
| CITY | BOSASO |
| REGION | BANAADIR |