Claim ID: 16981
Submitted: Nov-23-2018
Requested Processing: Photos required
Name: Jacksax
Email: oronaman@probbox.com
Company: google
Phone: 82776214539
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1980-12-11
Insured Address: Phoenix
Insured Telephone: 83179127864
Claimant Address: Phoenix
Claimant Telephone: 84714572228
Loss Location
USA
Local Authorities:
Loss Description: prednisolone tablets vibramycin 100 mg genricvalacyclovir lisinopril 500 mg amoxicillin
Handling Instructions: prednisolone tablets vibramycin 100 mg genricvalacyclovir lisinopril 500 mg amoxicillin