存款日期（大写）：****年**月**日**时
取款日期（大写）：****年**月**日**时
人民币 （大写）：*********元整 人民币（小写）***********元整
利率：****%
存款人签字：
取款人签字：--Liusiyao (talk) 13:53, 26 August 2015 (CST)
收款人签字：--Liusiyao (talk) 13:53, 26 August 2015 (CST)
