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APPLICATION

NO: BILL REFENRENCE NO: DATE:

CBC-AQSWE3E PAVZYRP 19 December 2022

DEPARTMENT OF CIVIL REGISTRATION GOVERNMENT COPY


Location: Hass Plaza 4th Floor, Lower Hill Road

P.O. BOX 49179- 00100 Nairobi, Kenya


Email:crsnbicounty@gmail.com
Tel: +254-20-2714987/8
Fax: 2714989

RECEIPT PAID

ID No: 31900427 Email: peterkorir@ymail.com


Name: PETER KIPTOO KORIR Tel: +254712040811

Service Code Service Description Amount (KES)

2 Application for Current Birth Certificate Fee 130

Total (KES) 130

NOTE

After sucessful submission and approval of your application,you will receive sms/Email alerts
with instructions to pick the certicate once it it ready. Be on the look out for the alert to book
an appointment to collect this certificate.
APPLICATION NO: BILL REFENRENCE NO: DATE:

CBC-AQSWE3E PAVZYRP 19 December 2022

P.O. Box 15140,00509 Nairobi.


CUSTOMER
Tel: +254 0900 620 206, COPY
Email: support@pesaflow.com
Website: http://www.pesaflow.com

RECEIPT PAID

ID No: 31900427 Email: peterkorir@ymail.com


Name: PETER KIPTOO KORIR Tel: +254712040811

Service Code Service Description Amount (KES)

1 Convenience Fee 50

2 Application for Current Birth Certificate Fee 130

Total (KES) 180

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