Service Fee Payment Receipt
| Receipt Number | 257299 |
| Service | BIRTH-CERTIFICATE |
| Payment Date | 23 Jan 2024 |
| Payment Amount | $4.00 |
| SMS Confirmation Number | 2023 |
PERSON DETAILS
| FIRST NAME | MARIAM |
| SECOND NAME | MOHAMED |
| THIRD NAME | AHMED |
| FOURTH NAME | SAID |
| ADDRESS | NEW BOSASO |
| CITY | BOSASO |
| REGION | BARI |