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["Refusjon av bilgodtgjørelse 2023"]
[]
["Navn:*"]
["Adresse:*"]
["Postnr./Sted:*"]
[]
["Skattekommune:*",{"$nulls":6},"Gjeldende satser:"]
["Fødselsdato:*",{"$nulls":5},false,"Godtgjørelse pr. km:",null,{"v":3.5,"d":"kr 3.50"}]
[{"$nulls":7},"Passasjertillegg:",null,{"v":1,"d":"kr 1.00"}]
[{"$nulls":8},true]
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["Avreise",null,"Hjemkomst",{"$nulls":3},"Bompenger, parkering, mv","Antall","Antall"]
["Dato*","Tid*","Dato*","Tid*","Kjørerute (utgangs- og endepunkt)*","Formål/arrangement og navn passasjer",null,"passasjerer","km*","Beløp"]
[{"$nulls":9},{"$f":"G14+(I14*$J$8)+(H14*I14*$J$9)","v":0}]
[{"$nulls":9},{"$f":"G15+(I15*$J$8)+(H15*I15*$J$9)","v":0}]
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["Alle felt merket med * er påkrevet. Navn på passasjerer SKAL påføres.",{"$nulls":4},"Sum",null,null,{"$f":"SUM(I14:I44)","v":0},{"$f":"SUM(J14:J44)","v":0}]
[]
[]
["Kontonr.:*",{"$nulls":4},"Signatur:*"]
[]
[]
["Dato:*",{"$nulls":4},"Attestert:"]

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