A form of request for a loan from the Chasdei Yitzchak Gemach, to Rabbi Yosef Shalom Elyashiv, upon the marriage of his son. Tevet, 1966. With a legal promissory note, signed by Rabbi "Yosef Shalom Elyashiv" and the guarantors "Naftali Klugman" and "Eliezer Dov Herling" [two gaba'im of Chevrat Tiferet Bachurim", where Rabbi Elyashiv taught].
2 leaves, varied size and condition.