Claim ID: | 16933 |
Submitted: | Nov-22-2018 |
Requested Processing: | Photos required |
Name: | Suesax |
Email: | michelmousavi@probbox.com |
Company: | |
Phone: | 87168657311 |
Their Claim No.: | |
Insured: | |
Policy No.: | |
Date of Loss: | 1979-11-12 |
Insured Address: | San Jose |
Insured Telephone: | 81241558615 |
Claimant Address: | San Jose |
Claimant Telephone: | 87846819283 |
Loss Location | USA |
Local Authorities: | |
Loss Description: | acyclovir 800 mg cost of amoxicillin doxycycline medication prednisolone lisinopril 15 mg |
Handling Instructions: | acyclovir 800 mg cost of amoxicillin doxycycline medication prednisolone lisinopril 15 mg |