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Statens fellesblankett Surname and forename Home address Name/Code of bank write on reverse side Position Agency/ Institution Tax municipality Claim in connection with Amounts claimed SDCode Total expenses from reverse side Incident. expenses 5-9 hours Official journey Code M Number NOK Time Departure Return Overn* stay re Date per cent Dr bak Symposium NordOst 619004/VO 1/1951 Rate TT- See reverse side Board house Hotel Other Virksomhetsregnskap Kontering Kode 2 Kode 3 Kode 4 Foreign GTAS...

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