[PROVISIONAL TRANSLATION FROM PERSIAN]

 

[Translator’s notes appear in square brackets]

[Personal information has been redacted.]

 

Evin Prison

 

Date: 17 Esfand 1360 [8 March 1982]

Number: 92153

Amount: 3000/ rials for delivery to Mr. Abdol-Shoghi Tebyani, prisoner of ward 325, received by Mr. / Mrs. Spouse

Name of the Recipient of the Fund: -----

[Signature]

 

Note: Be careful not to lose the receipt.