It's a rather archaic way to say 45. Think of it as five plus forty.
This construction is used in the English nursery rhyme, "Sing a Song of Sixpence":
Sing a song of sixpence,
A pocket full of rye.
Four and twenty Blackbirds
Baked in a pie.
That is, there were 24 blackbirds baked in the pie.
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40.545 in word form is 'Forty point five four five'. NB NOT 'forty point five hundred and forty five'.
If you mean sixty-eight billion and forty-five thousandths, then it'd be 68,000,000,000.045. If you mean sixty-eight billion forty-five thousands, then it'd be 68,000,045,000.
If I understand your question correctly:4510,000Do you mean forty-five thousand 45,000
One forty five A. M. One forty five P. M. zero one forty five thirteen forty five
545,000 is five hundred forty-five thousand 0.545 is five hundred forty-five thousandths 500.045 is five hundred and forty-five thousandths