[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

[Emblem]

Bonyad-e Mostazafan Foundation

The Property [Office]

Date 4 Dey 1361 [25 December 1982]

Number -----

Enclosure -----

 

In the Name of God

Report

In accordance with identification form number [redacted], [dated:] 17 Azar 1361 [8 December 1982], I went to the property of Azizollah Mottahedeh, located at [redacted] and returned the following items to Mr. Saadat Erfani.

1- Carpet for two rooms

2- Two heaters

3- Eight chairs

4- Two tables

5- Two step ladders

6- One old cooler

7- A few paint cartons

8- Some wooden sticks, wooden boards and old tires

These properties are in ruined condition.

Deliverer:

Ali Fakhar-Aien

[Signature]

5 Dey 1361 [26 December 1982]

Recipient:

[Illegible] Erfani

[Signature]

5 Dey [1361] [26 December 1982]

[Official stamp]

In charge of eastern district properties

 

[Handwritten note at the bottom of the page]

The above details are [illegible]

[Signature]

4 Bahman 1361 [24 January 1983]

[Address]