Claim ID: 16610
Submitted: Nov-18-2018
Requested Processing: Photos required
Name: Kimsax
Email: evon@probbox.com
Company: google
Phone: 86234561892
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1976-12-12
Insured Address: Phoenix
Insured Telephone: 83446537631
Claimant Address: Phoenix
Claimant Telephone: 84141135179
Loss Location
USA
Local Authorities:
Loss Description: ventolin hfa 90 mcg
Handling Instructions: ventolin hfa 90 mcg