Claim ID: | 17809 |
Submitted: | Dec-06-2018 |
Requested Processing: | Photos required |
Name: | Evasax |
Email: | chamadoiro@probbox.com |
Company: | |
Phone: | 84213855485 |
Their Claim No.: | |
Insured: | |
Policy No.: | |
Date of Loss: | 1977-12-10 |
Insured Address: | New York |
Insured Telephone: | 86993815931 |
Claimant Address: | New York |
Claimant Telephone: | 86989727654 |
Loss Location | USA |
Local Authorities: | |
Loss Description: | albendazole |
Handling Instructions: | albendazole |