Claim ID: | 17133 |
Submitted: | Nov-25-2018 |
Requested Processing: | Photos required |
Name: | Samsax |
Email: | sikesandrew@probbox.com |
Company: | |
Phone: | 88234236255 |
Their Claim No.: | |
Insured: | |
Policy No.: | |
Date of Loss: | 1978-11-10 |
Insured Address: | New York |
Insured Telephone: | 88482361234 |
Claimant Address: | New York |
Claimant Telephone: | 89315727717 |
Loss Location | USA |
Local Authorities: | |
Loss Description: | acyclovir buy buy amoxicillin 875 mg prednisolone 5 mg lisinopril doxycycline hyclate 100 mg capsules |
Handling Instructions: | acyclovir buy buy amoxicillin 875 mg prednisolone 5 mg lisinopril doxycycline hyclate 100 mg capsules |