Claim ID: 17682
Submitted: Dec-04-2018
Requested Processing: Photos required
Name: Janesax
Email: wesrutter@probbox.com
Company: google
Phone: 84211211442
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1980-11-12
Insured Address: San Jose
Insured Telephone: 89458757167
Claimant Address: San Jose
Claimant Telephone: 81813466849
Loss Location
USA
Local Authorities:
Loss Description: tadalafil 20 mg
Handling Instructions: tadalafil 20 mg