[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]