Claim ID: 17172
Submitted: Nov-26-2018
Requested Processing: Photos required
Name: Miasax
Email: vella@probbox.com
Company: google
Phone: 87252651412
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1976-11-12
Insured Address: San Jose
Insured Telephone: 88234834132
Claimant Address: San Jose
Claimant Telephone: 82636945897
Loss Location
USA
Local Authorities:
Loss Description: doxycycline hyclate 100 mg capsules prednisolone 20 mg lisinopril acyclovir amoxicillin 500 mg
Handling Instructions: doxycycline hyclate 100 mg capsules prednisolone 20 mg lisinopril acyclovir amoxicillin 500 mg