Claim ID: 16930
Submitted: Nov-22-2018
Requested Processing: Photos required
Name: Evasax
Email: louisb@probbox.com
Company: google
Phone: 85476929114
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1977-10-11
Insured Address: New York
Insured Telephone: 88216843977
Claimant Address: New York
Claimant Telephone: 83974623134
Loss Location
USA
Local Authorities:
Loss Description: lisinopril 5 mg
Handling Instructions: lisinopril 5 mg