Service Fee Payment Receipt
| Receipt Number | 270134 |
| Service | BIRTH-CERTIFICATE |
| Payment Date | 23 Jun 2024 |
| Payment Amount | $4.00 |
| SMS Confirmation Number | 2521 |
PERSON DETAILS
| FIRST NAME | KHADRA |
| SECOND NAME | SHIRE |
| THIRD NAME | MOHAMUD |
| FOURTH NAME | FARAH |
| ADDRESS | BIYO KULULW |
| CITY | BOSASO |
| REGION | BARI |