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[null,null,"Kørsel / omkostningsgodtgørelse"]
[]
[]
[null,null,"Navn:"]
[null,null,"Adresse:"]
[null,null,"Indreg Nr:"]
[null,null,"Afregningsperiode"]
[]
["A) AFREGNING AF SKATTEFRIE GODTGØRELSE "]
["Køb, vask, Vedligeholdelse af sportstøj-max. Kr.1.900,00",{"$nulls":7},0]
["Udgifter til porto, kontorartikler samt møder-max. Kr. 1.400,00",{"$nulls":7},0]
["Udgifter til telefon - max. Kr. 2.300,00",{"$nulls":7},0]
["Bilag",{"$nulls":5},"Antal:",null,0]
["I alt",{"$nulls":7},{"$f":"SUM(I10:J13)","v":0}]
["B) Befordringsudgifter - kørsel i egen bil - kr. 3,63/km indtil 20.000km, derefter 1,99/km"]
["Dato","Bestemmelse",{"$nulls":5},"Kørte km"]
[{"$nulls":8},{"$f":"H17*3.63","v":0}]
[{"$nulls":8},{"$f":"H18*3.63","v":0}]
[" ",{"$nulls":7},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[" ",{"$nulls":7},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
[{"$nulls":8},0]
["Total",{"$nulls":6},{"$f":"SUM(H17:H39)","v":0},{"$f":"SUM(I17:J39)","v":0}]
[]
["C) I ALT"]
["Udgifter"]
["A - Skattefrigodtgørelse",{"$nulls":7},{"$f":"I14","v":0}]
["B - Kørselsgodtgørelse",{"$nulls":7},{"$f":"I40","v":0}]
["I alt",{"$nulls":7},{"$f":"SUM(I44:J45)","v":0}]
[]
["D) INTERN ADMIN."]
["Dato:"]
["Underskrift:"]
[]
["Konto oplysninger"]
["Pengeinstitut"]
["Reg Nr:"]
["Konto Nr:"]