HELP; Online Receipt Doesn't have my name or information

[kelshaer]

Hello,
I paid the citizenship processing fees online but the receipt that was emailed to me doesn't have my name, address or phone number on it.
It only has the amount paid, receipt number & date on it.
Should I fill it by myself or just send it as it is?

 

[links18]

You are supposed to fill it in yourself.