Service Fee Payment Receipt
| Receipt Number | 252622 |
| Service | BIRTH-CERTIFICATE |
| Payment Date | 02 Dec 2023 |
| Payment Amount | $4.00 |
| SMS Confirmation Number | 4752 |
PERSON DETAILS
| FIRST NAME | ABDIRISAK |
| SECOND NAME | SAID |
| THIRD NAME | MOHAMED |
| FOURTH NAME | JAMA |
| ADDRESS | LANTA HAWADA |
| CITY | BOSASO |
| REGION | BARI |