| Claim ID: | 17815 |
| Submitted: | Dec-06-2018 |
| Requested Processing: | Photos required |
| Name: | Detmebovard |
| Email: | artyom-pokrovskiy-1970@bk.ru |
| Company: | |
| Phone: | 81525759136 |
| Their Claim No.: | |
| Insured: | |
| Policy No.: | |
| Date of Loss: | 1975-11-12 |
| Insured Address: | 86=89 >23>@>4 |
| Insured Telephone: | 84672388848 |
| Claimant Address: | 86=89 >23>@>4 |
| Claimant Telephone: | 88293866834 |
| Loss Location | >AA8O |
| Local Authorities: | |
| Loss Description: | 5BA:0O <515;L =0 70:07 2 86=5< >23>@>45 - 45BA:0O<515;L==.@D H254A:0O AB5=:0 4;O 45B59 |
| Handling Instructions: | 5BA:0O <515;L =0 70:07 2 86=5< >23>@>45 - 45BA:0O<515;L==.@D H254A:0O AB5=:0 4;O 45B59 |