Service Fee Payment Receipt
| Receipt Number | 253673 |
| Service | BIRTH-CERTIFICATE |
| Payment Date | 14 Dec 2023 |
| Payment Amount | $4.00 |
| SMS Confirmation Number | 2023 |
PERSON DETAILS
| FIRST NAME | ABDISAMAD |
| SECOND NAME | SAID |
| THIRD NAME | MOHAMED |
| FOURTH NAME | SAMATAR |
| ADDRESS | BALADE |
| CITY | BOSASO |
| REGION | BARI |