[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

Evin Prison

Date: 21/8/1360 [12 November 1981]

 

Mehdi

Number: 14063

 

The sum of two thousand rials, 2,000 rials, was received from Mr./Mrs. -----, to be handed to Mrs. Masoudeh Azizi, prisoner in section 246.

 

Name of the recipient of the money -------

Signature [signed]

 

 

Attention: Make sure that the receipt is not lost.

Page 2 for the recipient of the funds