Service Fee Payment Receipt
| Receipt Number | 255318 |
| Service | BIRTH-CERTIFICATE |
| Payment Date | 03 Jan 2024 |
| Payment Amount | $4.00 |
| SMS Confirmation Number | 4512 |
PERSON DETAILS
| FIRST NAME | BALQIS |
| SECOND NAME | MOHAMED |
| THIRD NAME | MOHAMUD |
| FOURTH NAME | MOHAMED |
| ADDRESS | LAANTA HAWADA |
| CITY | BOSASO |
| REGION | BARI |