[PROVISIONAL TRANSLATION FROM PERSIAN]
[Translator’s notes appear in square brackets]
[Personal information has been redacted.]
In the Name of God,
13/08/1362 [4 November 1983]
On the above-noted date, a sum of 109,500 rials that was kept in the hands of the [Islamic Revolutionary] Guard officers during the inspection of my house was returned to me, Soltan Tashakor wife of Dr. Tashakor, to enable me to pay household expenses.
One hundred and nine thousand and five hundred rials