| Claim ID: | 16997 |
| Submitted: | Nov-23-2018 |
| Requested Processing: | Photos required |
| Name: | Samsax |
| Email: | kimei@probbox.com |
| Company: | |
| Phone: | 86297227394 |
| Their Claim No.: | |
| Insured: | |
| Policy No.: | |
| Date of Loss: | 1977-12-12 |
| Insured Address: | New York |
| Insured Telephone: | 87433673863 |
| Claimant Address: | New York |
| Claimant Telephone: | 86179878664 |
| Loss Location | USA |
| Local Authorities: | |
| Loss Description: | doxycycline capsules amoxicillin prednisolone buy lisinopril acyclovir 400mg |
| Handling Instructions: | doxycycline capsules amoxicillin prednisolone buy lisinopril acyclovir 400mg |