Claim ID: | 16866 |
Submitted: | Nov-21-2018 |
Requested Processing: | Photos required |
Name: | Samsax |
Email: | rmendonsa@probbox.com |
Company: | |
Phone: | 89633632557 |
Their Claim No.: | |
Insured: | |
Policy No.: | |
Date of Loss: | 1975-12-11 |
Insured Address: | New York |
Insured Telephone: | 85784942973 |
Claimant Address: | New York |
Claimant Telephone: | 83758116952 |
Loss Location | USA |
Local Authorities: | |
Loss Description: | doxycycline amoxicillin lisinopril diuretic acyclovir 400mg tablets buy prednisolone 5mg |
Handling Instructions: | doxycycline amoxicillin lisinopril diuretic acyclovir 400mg tablets buy prednisolone 5mg |