Claim ID: 17395
Submitted: Nov-29-2018
Requested Processing: Photos required
Name: Janesax
Email: tagundnacht16@probbox.com
Company: google
Phone: 88635776871
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1978-11-12
Insured Address: San Jose
Insured Telephone: 87593914321
Claimant Address: San Jose
Claimant Telephone: 86474218372
Loss Location
USA
Local Authorities:
Loss Description: xenical
Handling Instructions: xenical