[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

[Emblem]

Judiciary

 

Number [illegible]

Date: 2/6/1372 [24 August 1993]

National Forensic Medicine Organization

Coroner’s Office of Isfahan Province

 

Burial Certificate

By virtue of this certificate, permission is granted for the burial of [illegible] [deceased's first name], born to Azizollah, surname Enayati Ardestani, age 63, who passed away on 13/4/1376 [4 July 1997]. Cause of death to be determined.

 

Coroner’s Office[signature over official stamp]

National Forensic Medicine Organization