Service Fee Payment Receipt
| Receipt Number | 251706 |
| Service | BIRTH-CERTIFICATE |
| Payment Date | 21 Nov 2023 |
| Payment Amount | $4.00 |
| SMS Confirmation Number | 5858 |
PERSON DETAILS
| FIRST NAME | SALAH |
| SECOND NAME | MOHAMED |
| THIRD NAME | IBRAHIM |
| FOURTH NAME | SALAH |
| ADDRESS | NEW BOSASO |
| CITY | BOSASO |
| REGION | BARI |