Inv 27113

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CAECL-AAAAEEO8

GOVERNMENT'S COPY
INVOICE PAID

INVOICE: INV-27113
DEPARTMENT OF CIVIL REGISTRATION
10 November
DATE:
Hass Plaza 4th Floor, Lower Hill Road, 2017
P.O Box 49179- 00100 Nairobi, Kenya
Tel: +254-20-2714987/8
Email: director@crd.go.ke

Fax: 2714989

TO
Customer ID: 22443190
Name: JOHNSTONE KIAMBA KISWILI
Email: jkiswili96@gmail.com

Service Code Service Description Amount (KES)

Application for
Late Birth Submission fee 150
Certificate

Total (KES) 150

Payment Mode: Reference Number: 3607/2326/21468

Note: This document is computer generated and therefore not signed. It is valid document issued under the authority of The
Department of Civil Registration
CAECL-AAAAEEO8
CUSTOMER'S COPY
INVOICE PAID
INVOICE: INV-27113
DEPARTMENT OF CIVIL REGISTRATION
10 November
DATE:
Hass Plaza 4th Floor, Lower Hill Road, 2017
P.O Box 49179- 00100 Nairobi, Kenya
Tel: +254-20-2714987/8
Email: director@crd.go.ke

Fax: 2714989

TO
Customer ID: 22443190
Name: JOHNSTONE KIAMBA KISWILI
Email: jkiswili96@gmail.com

Service Code Service Description Amount (KES)

11111111 Transaction Convenience Fee 50

Application for
Late Birth Government Fee - Submission fee 150
Certificate

Total (KES) 200

Payment Mode: Reference Number: 3607/2326/21468

Note: This document is computer generated and therefore not signed. It is valid document issued under the authority of The
Department of Civil Registration

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