兹欠_______________工伤事故赔偿金共计人民币大写__________仟__________佰__________拾__________元_____
兹欠_______________工伤事故赔偿金共计人民币大写__________仟__________佰__________拾__________元_______________(________________元),此款于_______________年___________月__________日前于以人民币现金还清。