This looks like two medals to the same recipient but in fact are two awards to different men of Kitchener's Horse
Picture courtesy of Spink
QSA (6) Relief of Kimberley, Paardeberg, Driefontein, Johannesburg, Diamond Hill, Belfast (3072 Serjt: S. Lawrence. Kitchener's Horse). Spink say all clasps are tailor's copies but the RoK looks OK to me.
KSA (2) (1946 Serjt: J. Flynn. Kitchener's F.S.), official correction to number
Samuel Lawrence served from 26 January 1900-29 May 1901 and had a duplicate Medal issued in March 1907.