 鲜花( 3)  鸡蛋( 0)
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这里有一份
自己酌情改改就可以了。
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3 G& A( s& F# t# z- S6 O. M$ m+ K0 PSettlement Disclosure: T+ }! m) w7 F" I/ k# v0 u! p. R
Final Settlement- K% a' }8 Y4 Y' {, t
7 m' ~. H* E5 ~ ]" ^8 ~CAR A:
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Maker/Model -
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Plate Number:8 e. x9 n5 S. B4 G
Driver Name: (called driver A in this document)
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) r& G2 |; K! _; Y8 ECAR B:+ y- R. N) v2 K# i, {5 ]
Year -& e0 x! ^2 C7 J, v# M2 r
Maker/Model –
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Plate Number:0 P, W% ]& F6 r9 `* ]
Driver Name: (called driver B in this document)
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In the afternoon of Nov. 7th, 2007, car B hit the back of car A.
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4 k! Q2 C& l2 N9 QThe driver B has paid
3 c0 w, [ l( M. n+ ?, N1. Bumper repair: $' Y4 M+ O( B, G" u' y' Y& t ?9 `
2. Other Compensation: $
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( x" r. f; b. N+ hdriver 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.2 q1 D" t4 F5 |
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Driver A:
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Signature Date:
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! }( V$ {# H0 v8 cDriver B:
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/ J; l ?$ X) TSignature Date:
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Witness:* D$ }$ o: G' A. M3 S4 ~4 [$ l2 g
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Signature Date: |
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狗仔卡
发表于 2008-3-11 09:16
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