0 \7 t* H6 Y0 tThis is the full and final payment for the incident between us, XX and XXX at (车祸地点)on (发生车祸的具体时间,哪年哪月那日). The agreed sum of $(你付给对方的钱数)cash for damaged. There is no other claim through insurance or personal for this accident. This is the full and final payment.0 N; y! c- |" H+ K2 K) |
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Signature of * B1 h! @6 m& Z& E& A; e S( Z, J
(让对方签名)5 f1 y u2 n' O" }- I5 L* I) k
一式两份,对方留一份,然后自己留一份