ࡱ> svr  bjbjnn7F_g_g^ ^ 8=,i|--(UUU$&!P!!UUH6UUUFL0|,"eR,","!!|,"^ Y :Skjema erstatning for tapt arbeidsinntekt politikere Navn: FdselsdaoKontonr.  Legitimerte krav (dokumentasjon vedlegges) DatorsakAntallSatsBelpTotalt Ulegitimerte krav DatorsakAntallSatsBelpTotalt Dato/underskrift ___________________________________  For administrasjonenKontoAnsvarTjeneste105025110000100000 Kontering Dato: Sign:Attestering Dato: Sign:Anvisning Dato: Sign:       Modum kommune Telefon: 32789300 Postboks 38: Rdhuset, 3371 Vikersund Bankgiro: 2270.07.61413  HYPERLINK "mailto:epost@epost.no" post@modum.kommune.no  HYPERLINK "http://www." www.modum.kommune.no Org. nr.: 970491589 89:@AHKLTUVWXY  º h2X5h+hmZ5 hmZ5hmZh+h+5h2Xh/h+hshW;CJOJQJaJhsh+;CJOJQJaJG9:@ALUVW $Ifgd+gd+gd32WXY`[[RRRRR $Ifgd+gd+kd$$IflFu" N t06    44 lapyts0''' $Ifgd+kd$$Iflr}]Yu"M t0644 lap2yts'kd$$Iflr}]Yu"M t0644 lap2yts $Ifgd+ $Ifgd+0''' $Ifgd+kdv$$Iflr}]Yu"M t0644 lap2yts'kdX$$Iflr}]Yu"M t0644 lap2yts $Ifgd+ $Ifgd+0+&gdmZgd+kd:$$Iflr}]Yu"M t0644 lap2yts $Ifgdi0''' $Ifgdikd$$Iflr}]Yu"M t0644 lap2yts'kd$$Iflr}]Yu"M t0644 lap2yts $Ifgdi $Ifgdi  0''' $Ifgdikd$$Iflr}]Yu"M t0644 lap2yts          # $ H I J K L M N O c d e f l s | } ̿h^+hhhhSLjhhSLUhshOJQJ^J hK;'hK;'hshK;'CJOJQJaJhshK;'5hshK;'5CJh2XhK;'hmZB     'kd$$Iflr}]Yu"M t0644 lap2yts $Ifgdi   $Ifgdi    0++gd+kd$$Iflr}]Yu"M t0644 lap2yts # $ H I J K L M N O d e gd+nkd $$Iflu"" t0644 lap yts $Ifgd+ e f l s | xooo $Ifgd+kd $$Ifl0u"pq t0644 lapyts| } `WWW $Ifgd+kd $$IflFLu"q t06    44 lapyts `[RIIIRI $IfgdK;' $Ifgd32gd+kdF $$IflFLu"q t06    44 lapyts Nkd $$IflF4 u"   t06    44 lapyts $Ifgd32 $IfgdK;'  p# B7^`7gd M p#^gds^gd~< $^a$gd$ p#L]La$gda-$ L]La$gdcdgd2X        # * ̼r_O<_%hshgEB*CJOJQJaJph&&&hshX^5CJOJQJaJ%hshpB*CJOJQJaJph&&&%hshDB*CJOJQJaJph&&&hshD5CJOJQJaJ"hsh~<56CJOJQJaJ(hshp5B*CJOJQJaJph@hshgE5CJOJQJaJhom0hs5CJOJQJaJ hQh.`W j hR hsUmHnHuhAkhih* + , 6 : ; D G O ] ^ _ 쳠xplpU>,hsh M0J>*B*CJOJQJaJph&&&,hshgE0J>*B*CJOJQJaJph&&&hijhiU(hsh.`W5B*CJOJQJaJph&&&%hshDB*CJOJQJaJph&&&%hshX^B*CJOJQJaJph&&&%hsh MB*CJOJQJaJph&&&%hshpB*CJOJQJaJph&&&%hshTDB*CJOJQJaJph&&&%hsh%B*CJOJQJaJph&&& ^ dgd2X  p# gd M p# B7^`7gd M ѾѾq^ZMhshOJQJ^JhhSL%hshgEB*CJOJQJaJph&&&%hshDB*CJOJQJaJph&&&,hsh~<0J>*B*CJOJQJaJph&&&,hshTD0J>*B*CJOJQJaJph&&&hijhiU%hshX^B*CJOJQJaJph&&&%hsh%B*CJOJQJaJph&&&5jhshi0J>*B*CJOJQJUaJph&&&5 01h:p\. A!"#$% $$If!vh#v #vN#v :V l t065 5N5 pyts$$If!vh#vM#v#v#v#v:V l t065M5555p2yts$$If!vh#vM#v#v#v#v:V l t065M5555p2yts$$If!vh#vM#v#v#v#v:V l t065M5555p2yts$$If!vh#vM#v#v#v#v:V l t065M5555p2yts$$If!vh#vM#v#v#v#v:V l t065M5555p2yts$$If!vh#vM#v#v#v#v:V l t065M5555p2yts$$If!vh#vM#v#v#v#v:V l t065M5555p2yts$$If!vh#vM#v#v#v#v:V l t065M5555p2yts$$If!vh#vM#v#v#v#v:V l t065M5555p2yts$$If!vh#vM#v#v#v#v:V l t065M5555p2yts$$If!vh#v":V l t065"p yts$$If!vh#vp#vq:V l t065p5qpyts$$If!vh#v#vq:V l t0655qpyts$$If!vh#v#vq:V l t0655qpyts$$If!vh#v #v :V l t065 5 pytsKDd l  s :A?Bilde 4"RNJ>Rf1UqoQ\*J #F"J>Rf1UqoQ\JFIFC      C  A" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ??R~&fyM;leԭۤnXW> Z_ N<8o ((ݯy/xp9esRc]dӱE~:~:ť-/E{ sK>_&o?E~:~:ť-/E sK>ugUC{o"|O%ο/D?`k}#ɟTW> Z_ ???bOmQ:z[&~Q_1i'(tK=GB\RC&o?Fk-/E}e|ExSi*Y[6$pLڪW#ˎkͼ;r,#noWee{|=Mc`(ՕI^׌Wm}3+(~ u+]3;qYؠG&-ѿCkV7U2I 4w^~L߉<\ɲLwv2[&T%k읧ٮh+ه_O>(x{WLt}#"eGiu—zS^&hzLq=985uNƴ$ow.#02xz>H>^抩ݵg;4 #:^[Vvg]]QH((((((((((((((((((((((((((?,wI6|Zɸ~^m1Q7v.}1~8􏄲K%ڤ(H(ۉя0+((((& ǾdmZaO\^+ ^~a5Y#?]ʸe\eQ|xf?:犯$Ϸ`'XQ tPOA_x}n,O9%wC{yvYMAYD}O*>1~ך 1NITLdS!`;~4_u4Zց2ʠېe_G~p{(5j3isdI:43}r?~3mE¨ڱA\Ux,)dXMvݥeozOfeϸYi7JWiۑZv} B@]+KU {kY 1Y!M.;g `/-uokܗ QeP>/RGZyXC~HUp{W)c9|Nh4z\ 3$)T8s-rˣ_gZvM''c.{>_:3p 5;cOE՟RH| Ѫ\~NnvF1p*6Mth%QEIaEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPU&!|`dg"~?>~$Wן;\֯?:Md9l\Ksq1qu/BYK vh1wLcnᗃ-&vzNj/"=؟Rc覿2Kpzs$|1RqגME?]3-|4*~zE ;f'5 ?k7CvM:ٛAMs_gT_ mER#lW1:~;)![x{62L077l1FO.JfNMސOwwW_s@.?ԚI%iTkeʶnֱ7wO4HLeљ~Y.FXܪb|] cKMe鑍cwˁvg`gW;WGcO:ּJ\p;j~P_t{?>,$FwStA\x *.+4lE7󔵷k>6^_9/.JV4{w0߳l??[j~PVUB6F}ʃڛ:_~.jt{5ɉPz`}>Ox?Vvxbr96cӮ`F>0ۗ+ytwOO$ƨ܌mOTw ȹr~..e}i+u,oSE| ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (8_{:{ q݌z Dk!,#մۋYt71RUa{UjZuw}Զ/Y|^*g~WHa.~6gEYQEQ]o?⏇|9l\ԭWH3+:#NJУ:#JKͻ#)[|(%5+UQidQ:w K`Of^$Wba0)TO`~ω: i,C`(5G3gMbvԵϫ@+>l޾m.jqzEُV뮝i=֜u%Sv}5ȏ^?>'xm[]6dA8l?_?h(5 ]*r_ "20=\Z t i ik.t.wEeIdSHG >L/dtȷA\8'ȯ)okE_2VRx1VbM| <%kco;a̳sl}7O3F^&X[ZOݠ>K;i!_#զ{8b2ὥ]j'y[4ϫT|[_5uB пOſ '}z$-%8F)+oWW$]c?_έ >n5;hlɐq>>''˫xRF2v9_O`>02 ԫ>7}-䕵>?' 8g' 2{٨ݾ׻w~Oh?G1V/1ecpXԓ_|~ߵkE4ی:7f־֚?.xVgԯ_q61q܁_F ٖ}.$_;=lGαwS r{4oOuX|ϊrˬP+m̚W"}k:Q@T ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (ҿ oo߶ɫKv~?ܣ_[G_G-th˿fh~O_xKY?ysZ1QZҨq)Q_QEW_F/ٶo_?i?M[ڢ Nu;qCzOjH_';xKFݺg5$ؿ\Rk<7+yt{_K3˕LOz>/DždUCܕ38+ Ȳ)g_ϖW5}s Ê+?v}y^PZ/GmX~ſI~maqqo \D|C*h{3Oe5K^|\BV.? h/?KɵV ^J~qr}zo{ +n-)'%b%huYG{BuĜ]VU!?eA;hڏ_xyB4RUm_T7Ҝ_Kjk??h/:ۯKr(>oWŸ_[{L˜mcZ)JT~·ۑgGrYI'&_k[`*:]om#.(9̨ Z7;vRK//&.常I̒H$$ ⏈^$u`-mmt[+yqU__F?m uI#dڜ?ĉ]&c!b3C-x,UFsw*dQ_0QEOwR_-ֿ υ#Tr4[.X qW0'?4d?V##>WG#nc=_GKCKgJ=Koc٠#+|q3 }h| jC֥KD[ X*>S!zWFX~?׎#M5+fl1p:ſ?ůř뛉Ij"Or4g=( t*㣀Tnu_xi!3<8cU3I̟poo51Y&K{!)>Ya) fJ3_wI.~:D:ͣq |WPW9;9?>ޏCZW?ZkP}4k_J%7ontlL4k+8 X#> e< S,23}(+=g r|M_]/ :[hzZC Y(~ B>+Ė^VH8$J~lVg;p!Q"K5Io4W~oH{KԷCqkpnt GMOQ vOؓ ufrorS[]M7+ʱ|laret?ඡoZ'AZfh!`,v$ dM_jMzoٿ\/%c3N,}.=>]tKw?KF/ĚVl`YӼ}Gˮf_(!VG%>@4WǾ2^kc_ͦ#jͯY"ivm#1M|KZn_xF*f8UQNXh_ R|ACF9kwHA 潏 kM7_ri슥%.&Ѹ\0@Age<𖥯k^Iy{wp"5,ǰ WP|CtOz־(h+ڟBp|],I&H g7ŏ}긯s/f1oh_ϗl["`/ɒ?>Kˈ7Y*" w4Iorв6(W1_L'fcw<_w-N5.(*?؃W8' >[ޓ1[u}=l~|ofS{ZEzuogK }KXMj5Ԩyȅy^?TW s ׉Mk+ihz=ڿjۇ. ƺni=Od_ٯ>1i&h3kGObD~\_jt~Y'S '^=fVX̧ÞOt%-msϿƺ/7A?!_Q_*-:f ZQ^8X9$e~FƟ5xκIDf"z  @u/ˋVa/gnsHc?YLszE>d^ޗ>G<\/aN-RKk%#R9? u 6ujӬ1c{*}~Q_ eً1ח_'c=ǘNj_jlB/_*SOV#'Sh>x φOkZ':eTI;)$>%*^gK+SQ{~}[_]{8'sչnim&Ͽ:|UKC`G854d&/.jWaixs GўDYr.5?坬d4oՅ~ן/E"ͧbwX2^U~Z}Ї|tq~c{Q?,?ߵHjP[ܖd}7NnQovf?U]̎ܳI_e},`_ެt3Fk]RM.y%AEWqYIw*dg 'ҨV{y01@z,O']_t!lz0~U}_^ ^_꿣JCM|MSޗQ_!EPWKo?mnh"y8|1j_6Ǻ;≿m zm[N=o3 iMkqG9o)8຿hKE~'F+/7fKy9(  c>% +ybg Xt??>~~`[m#)_~ {?`I[GO3)t ܃ itw{F[zT%-4-nm}gI&-j$/칡~OOi 7gk})4:ϵsQEx?:Ƌo-o,E$1.{x?؎C!hz}o7ֳj=v6+^zN zG1xwǀ"~Ŀ[Pu) 2<_7BgcsZs0ʿ#eFZ띏yC*.R\jĻVy^dg qjIk>g}/QO,涹U FU+Z_[Z/?kXMqh j 7Ao4öQĠDP2qՎ2ORI5C)?W7ǚ-?6Go:w] ھ-.pu?+)E|~z񿇮o(j j_t0.5x[Q߈.,d̐pܭҾ_u <iSݭ",kO9Q3 >wɄ|#G(Cs ݦu&Mv[ovʛ-:y^f64,/?Nƻ;;QetFc?U*vfsIR:߶(x}坹#od_4~#C gԪ|ȗu^I|\/_Ojڤ4JŹ'_Y'ZW@<׺p{;k7 QֵQq_)16LPUK0_wZ'›;:`cmv6yC1w>,f5oVKOqw+ř>(Xd ދ;F /ڮwG\zJuN}cn牶m^0z=[kԏp aK+JoK\m#= +neʢS5Cd-)=Y1k(ڀgV޹b8'r|3 yJttm꺿uD17 r=W/?糶XdY $K>>ݻj<[k;\\H~i?A:x%ٛ,i{^bgGkNݩ?߲ʢ+t(mo%pč$DEf'րD~ > <_4z>{NGWyo]Igٛ^h;{$ cu̿b(R>.Ϳsjؤ?ᎋg#cp%iKR7oDQE|aEPM&\߰ğ ~-xtiYy/mUO`o^ZkFtʰ)K#2s ZON-' 0/luIu;Jm_W͠7* nb4P Is  H~>2?ߦ߷cϹҾVG4i,/ xB6 A ~e|]p5/ͿMwƋwZ<>XkѶ<PI#'A?nooO.HDx a_A;^974wĿMm2vjfYr6}EgǿU%|RM]>4?𭵆YK7oD}~n+x:P3}sj/MWIw,cyǗYvS8鑊 ; śƑx͏v!̲oY׎+ (?OY_7Q=Oo"6ybH뻌txCF[kz-4p#D);s8z訠H7 w6?qXx+u 8Y#`D9|O6G:{?_x_ p◊hOi ^l qIe ܪT|W_ Oxy&[?2NYny4{g|L:d~s;őŦ'~ܚyJ6$鳮sҾ<Pai?>G7ԯmn^߷LKrNg!Sovz1yB‘y2vۜd=MvP?o)?Eky[Hm,6] |qں+o*ѧ=ű5u5|q#hH79ޜԴbx1U 5ȼo6a L);s8zoUPD~wh|-Xմfo5|n%3_JdO۳/iؔPοQ&g)K .CIϤkvE#nC#`nC< |7S@ѿnOoO* 8?bH&#t qWu<>9/ O. +y TYcB:Gb̬/#`]_ u7|g?\덬60>W%MzWtP{|6] ?Đ/ ۾ok)8uy2\GeTO _?^2ZTr89zܯO,~^״x;^ǧkKIjaYRk 6R%(Kkޗs?[et`. 8b/Mp[_H|Cs>p<" ?VryKox&G#y}DO>gk:Cd2&Ȑ}[bs_֥➟V>ǒ ?duAc,Wb7f9]6^1O*ɰ#zG-ڍW;T} w\~:Ğ \Xx#K#ddn?g x?w~m]¾#emGVw8YOG:cM:xJjE$OğS_PZ<uacuqg]6b}u>\}n9>W(g8nh?]49oއtNr]N7kOZ_Ɵx2WͅB=Y?_즲WOe{nI_;O>WW_& \]g~~x4]ei_Yŝ_Y5y2I#$j(RVG2ES$+%~>Ժ]v25k˕3$w rq~/egٲ[#^+٪j;"u ؇ٙ@ϖYAԼ!7EzTm9v~~r3EWQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQE G i!MA:d`=OؠBr"8ԃz3 a6Gg}zY|B%wE=!p<pBCYx6ͮˑ(1>v~OK1F]>^C-yi3>[ .79YǨBu-L+{nf# :X-*Un-uR^M' p~mAFqq_绒֖9,_i>~˿6s4Z8cl4߁_[d~63IcQbp~_>_|}ԎM~S2{KcS(;g/(?- ( (ox'S 7Aѭd5i;S9sZiNMS۲KvD,d>CjVg"y}|raawؔ] y5߲/[$Uʏ`7`(eEz(<1X?݂[ˡLJ2hШ}SިQEEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEP.-㻂HE9 {Ο(߰ana>vVtg`@y<N7 d:??ᖩ_[ ?Sn*ΧO)aaعRrK{']is2l+BOkf4M? {]Fy_LHK1?RMTHfm{T}n&hՌ?w?,؎|޿px5F $[X8s ' EƤ[RO{(8Š(O|9Og뺼Dh;W^f# ?8/%/|i6_B L)c\~E M|k/9y4_‹]&8 QEYPQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEy7$h=YVR &*nluF zbğ{ xŭ/13eO8 #5俵yiZKkZ6Fc!'v 'qLձ7 ?[꼻1M< SrOO֏xHm[B+MCommHSԓ<ǎ@t[g%?_]t?q:qícyjIi͖[^mmm$ש<֕W)7);cSEB h.(((((((((((((((((((((((((((((((((([ w]χUm?$Dݝ0E|?5gRNM;IG]cƒ22 pTgVa=gϛ͸G&14*B*phrCr +Tabellrutenett7:V0PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V[R&[kkbHf pɃ!G'7kBe-B$E`4"|K=ݢA,ZPU%qQ!T4(͐s{ ?׶ﮡ+d u'٦RTk˸VUiU2}8iY]ofX~unVE oXSV An-\߬7m+KjaYZ5($/ Fc~ 2bt ,ѐEbb*"tx H$' qQ#A X.څ >%M{madH+^D,-)>pȚݻoO_~_g{kU.SOK~tE0~L=87wo޿}sʡ}  oxYt}~9^)Hߒޟ":CqO,ݐO$qh|F3#a$ܛ{бk-/& XREXXz76qgXvgxuD&鑾M./SAeSΨM|l#@Aeh"QRC5 d"ٝk 0e^kpp8Gfnid#$c=Ęlq#DQvIb !C&]u ~@Jw?%r dXR w>fVvt+J;8> Ø4{9!d] ȎUuc=,="‭ә.$)#Wi6oAnmM>i:^0DVSSn"ܗG ܗ /-ݔmzZCe-XETqbȾis7@wd5=z@qkG^OVl%Kv:B 4OiI|,榧=ͪYot2>t7lr=L޼@_G}S+ =<3lâOM2X#-q& 2(PWJ1S/aFz٩[$a:,`3|PaP%St2msJ2$l2$ɮŦ~%@- T~J]=vuzz1{7וSKCHfЖ 1xj"4.ܥ=e VNzc,k[ 463_(C PRG04Q#3xHW, D\'4DDbQ|u 49Ds+CBdmBZȁm'vcEY: Z`%&n8 F  *  "W    e |  !XXT # @H 0(  0(  B S  ?AKLS:HK HK ,`32WAR[ :x( Qp!#K;'+, /,a-om07 2p52t2T5B738Q!;(>lB"C6;CTDgE3!GiGM"H}HH.I4IhSL M.`WZNZB]X^DUf8g k6?kAkAl m}m5so )s80sMvwCmwy7|15V0D/$v?6`+VsW_xEE(L=%y\[U%gxg Bw5 IcgioWp2XD ybI4[n'mZ i+87C^+_JQcHfAsx?K=]~<># Qq@@UnknownG.[x Times New Roman5Symbol3. .[x Arial7..{$ Calibri5. .[`)TahomaC.,.{$ Calibri LightA$BCambria Math"1pґGpґGc;KK!xr0CHP  ?n'2!xx]~98 EierKopland, Eivind Oh+'0p   , 8 DPX`hEierNormalKopland, Eivind2Microsoft Office Word@G@fJ@I@IK ՜.+,D՜.+,P  hp   Umutthran  TittelTitle 8@ _PID_HLINKSA P http://www./$ mailto:epost@epost.no  !"#%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOQRSTUVWXYZ[\]^_`acdefghiklmnopqtuxRoot Entry Fw@Data $W1TableP,"WordDocument 7FSummaryInformation(bDocumentSummaryInformation8jMsoDataStoreOI4PLZU4HRFIV0Q==2Item  PropertiesUCompObj r   F Microsoft Word 972003-dokument MSWordDocWord.Document.89q