[PROVISIONAL TRANSLATION FROM PERSIAN]
[Translator’s notes appear in square brackets]
[Personal information has been redacted.]
[Date:] 21 Esfand 1357 [12 March 1979]
Respected Head of the Faculty of Sciences at the University of Razi,
Kindly have the form of settlement of accounts of me, Dr. Kioumars Khodadadeh, assistant professor of the University of Razi, whose services have been terminated from 15 Esfand 1357 [6 March 1979] due to my religious belief, be prepared and forwarded to the Accounting Department of the University of Razi.
For your consideration, I have not been able to use my summer vacations of 1356 – 1357 [1978 – 1979], due to the unsettled conditions of the Faculty.
Dr. Kioumars Khodadadeh
[This is a true copy of the original. Secretary of the Assembly [?], Abbas Hormozi]
[Name and signature]