| Claim ID: | 16629 |
| Submitted: | Nov-18-2018 |
| Requested Processing: | Photos required |
| Name: | Payday Loan |
| Email: | goldstrikeagle22@rainmail.win |
| Company: | |
| Phone: | 81688442176 |
| Their Claim No.: | |
| Insured: | |
| Policy No.: | |
| Date of Loss: | 1977-12-10 |
| Insured Address: | San Diego |
| Insured Telephone: | 81929365831 |
| Claimant Address: | San Diego |
| Claimant Telephone: | 82221884732 |
| Loss Location | USA |
| Local Authorities: | |
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