APPLICATION NO: BILL REFERENCE NO: DATE:

CBC-5YSZEAV6 7N9G3K7 16 April 2024

DEPARTMENT OF CIVIL REGISTRATION CUSTOMER COPY

Location: Hass Plaza 4th Floor, Lower Hill Road

P.O. BOX 000 49179- 00100 Nairobi, Kenya

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

RECEIPT PAID

ID No: 31569797 Email: kmuyoni18@gmail.com

Name: KATHLEEN MUYONI KITHEKA Tel: +254742723269

Service Code Service Description KES

1 Application for Current Birth Certificate Fee 200

2 Ecitizen Access Fee 50

Total KES 250

This document is computer generated. It is a valid document issued under the authority of DEPARTMENT
NOTE OF CIVIL REGISTRATION
APPLICATION NO: BILL REFERENCE NO: DATE:

CBC-5YSZEAV6 7N9G3K7 16 April 2024

DEPARTMENT OF CIVIL REGISTRATION GOVERNMENT COPY

Location: Hass Plaza 4th Floor, Lower Hill Road

P.O. BOX 000 49179- 00100 Nairobi, Kenya

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

RECEIPT PAID

ID No: 31569797 Email: kmuyoni18@gmail.com

Name: KATHLEEN MUYONI KITHEKA Tel: +254742723269

Service Code Service Description KES

1 Application for Current Birth Certificate Fee 200

2 Ecitizen Access Fee 50

Total KES 250

This document is computer generated. It is a valid document issued under the authority of DEPARTMENT
NOTE OF CIVIL REGISTRATION