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这里有一份
自己酌情改改就可以了。0 p+ S% x0 M' @' N
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Settlement Disclosure/ @9 Y: t" n. q2 V7 z% a2 X
Final Settlement: V ~6 `8 ^2 J* ? {' L
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CAR A:
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Maker/Model -
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Plate Number:* W* G- d8 `% p9 W( W( r) G
Driver Name: (called driver A in this document)/ f- k2 i6 O) L; m* B c
+ x) j% l$ \( z6 l9 c) lCAR B:
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Maker/Model –
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Driver Name: (called driver B in this document): V; Q6 X3 z. I$ O3 x
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In the afternoon of Nov. 7th, 2007, car B hit the back of car A.
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* V/ u& @' Z: l: zThe driver B has paid# s+ f+ I1 u' ?( X- S2 s
1. Bumper repair: $; L, J8 E+ w. g3 M
2. Other Compensation: $
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driver A and driver B agree to make a final and permanent settlement of this accident. Driver A has received the above amount of money. And Driver A agrees with this final settlement and is forever giving up the right to claim any responsibility of driver B or to proceed to judicial review by a court, concerning any result of this accident for damage of car A or injury of anyone in it.
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9 r4 Q' N: c" o5 Z) xDriver A:& J, L+ x3 P& C: M0 ]% C9 C
) t: f$ i) Y/ RSignature Date:+ \- a8 q5 B; O" r
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" T: D, _ F- w' J+ b1 X5 _) KDriver B:
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. b- e) u! N% X/ d9 J+ @( i% dSignature Date:
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Witness:9 ^0 J+ W1 b C& T' B9 K
+ T0 n9 n3 v* h4 |: \( ySignature Date: |
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狗仔卡
发表于 2008-3-11 09:16
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