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["Skattefri godtgørelse m.v."]
[]
["Navn:"]
["Hold/Årg:"]
["Cpr. Nr:"]
["Mail adr:"]
["Dato","Fra","Til","Kørte km","Bemærkninger/formål m.v.:"]
{"$rows_empty":15}
["I alt for perioden:"]
["Saldo pr."]
[]
["Afregning for perioden:"]
["Befordringsgodtgørelse",null,"………………. km","á kr. …………","    = kr. ………………………………………………"]
["Merudgift til fortæring",null,"………………. gange","á kr. …………","    = kr. ………………………………………………"]
["Rejsegodtgørelse",null,null,null,"    = kr. ………………………………………………"]
["Udlæg for klubben iflg. Bilag",null,null,null,"    = kr. ………………………………………………"]
["Andet:","…………………………………………………………………………",null,null,"    = kr. ………………………………………………"]
["I alt:","…………………………………………………………………………",null,null,"    = kr. ………………………………………………"]
["Konto nr.","…………………………………………………………………………"]
["Udarbejdet af"]
["……………………………………….",null,"………………………………………."]
["Dato",null,"Underskrift"]
["Godkendt af"]
["……………………………………….",null,"……………………………………….",null,"………………………………………."]
["Dato",null,"Underskrift",null,"Underskrift"]
[]
["FREDENSBORG BOLDKLUB OG IDRÆTSFORENING"]
["KASTANIEVEJ  16  •   3480  •  FREDENSBORG  •  TLF: +45 4847 5451"]