Claim ID: 17154
Submitted: Nov-26-2018
Requested Processing: Photos required
Name: Samsax
Email: kif31@probbox.com
Company: google
Phone: 83242326541
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1978-10-12
Insured Address: New York
Insured Telephone: 86986391496
Claimant Address: New York
Claimant Telephone: 87395118419
Loss Location
USA
Local Authorities:
Loss Description: lisinopril 20mg 100mg doxycycline acyclovir amoxicillin prednisolone 40mg
Handling Instructions: lisinopril 20mg 100mg doxycycline acyclovir amoxicillin prednisolone 40mg