Claim ID: | 16918 |
Submitted: | Nov-22-2018 |
Requested Processing: | Photos required |
Name: | Janesax |
Email: | mccrearycarpet@probbox.com |
Company: | |
Phone: | 83342898712 |
Their Claim No.: | |
Insured: | |
Policy No.: | |
Date of Loss: | 1978-11-12 |
Insured Address: | San Jose |
Insured Telephone: | 83267116222 |
Claimant Address: | San Jose |
Claimant Telephone: | 83633819925 |
Loss Location | USA |
Local Authorities: | |
Loss Description: | amoxicillin clavulanate |
Handling Instructions: | amoxicillin clavulanate |