Claim ID: 17046
Submitted: Nov-24-2018
Requested Processing: Photos required
Name: Annasax
Email: gigioscassano@probbox.com
Company: google
Phone: 89452175478
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1980-12-11
Insured Address: New York
Insured Telephone: 81935385595
Claimant Address: New York
Claimant Telephone: 84918162355
Loss Location
USA
Local Authorities:
Loss Description: amoxicillin 500mg capsules doxycycline lisinopril 10mg prednisolone acyclovir tablets
Handling Instructions: amoxicillin 500mg capsules doxycycline lisinopril 10mg prednisolone acyclovir tablets