Service Fee Payment Receipt
| Receipt Number | 256711 |
| Service | BIRTH-CERTIFICATE |
| Payment Date | 17 Jan 2024 |
| Payment Amount | $4.00 |
| SMS Confirmation Number | 2023 |
PERSON DETAILS
| FIRST NAME | MOHAMUD |
| SECOND NAME | SALAD |
| THIRD NAME | MOHAMED |
| FOURTH NAME | INDHATAG |
| ADDRESS | SUWAYTO |
| CITY | BOSASO |
| REGION | BARI |