[Translator’s notes appear in square brackets]

[Personal information has been redacted.]



In the Name of God

Provisional Islamic Revolutionary Committee

No 4550

Dated 10/6/1358 [1 September 1979]

Mr. Reza Koushkestani, accompanied by armed individuals.

Assignment:  Inspection of the home of Mr. Abbas Mehrabi and summoning him [to appear before the authorities] if necessary

Place of assignment:  Ghareh Nay Street

From 20/6/1358 [11 September 1979] until further notice

Group leader:  Mr. Reza Koushkestani

Police Force:  [signature and stamp]

[signature over official stamp]

[contact details]