[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

In the Name of God

Main Office of Kohgilouyeh and Boyer-Ahmad Province

 

[Emblem]

Judiciary

State Department of Prisons and Security and Corrective Measures

Minutes of sending the prisoner on leave

 

Date -----

Number -----

Enclosure -----

 

Time: 1300[13:00] Date: 15/7/1387 [6 October 2008], in application of letter number 389/023/0696870, ordered by the esteemed Director of the Prison

 

Reference: Prison, Prisoner: Hosnollah Davardan [Dadvaran], Son of: Mousa [Moula]

 

Time in days, seven days with [prison] officer – without officer -----is sent on leave and must report back to prison at 13 hours, Date: 22/7/1387 [13 October 2008]

 

Prisoner’s finger print

[Finger print]

 

Prison guard officer

[Signature]

 

Prison guard officer support

[Stamp]

[Signature]

 

Accompanying [prison] officer

[Signature