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Skulder<br />
Långivare/fodringsägare<br />
Bilaga nr<br />
Skulder 1/1 eller<br />
vid periodens början<br />
Skulder 12/31 eller<br />
vid periodens slut Förändring - / +<br />
Övriga upplysningar<br />
Summa skulder<br />
Sidan 4
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