Claim ID: 17827
Submitted: Dec-06-2018
Requested Processing: Photos required
Name: Janesax
Email: catherine77@probbox.com
Company: google
Phone: 81985142898
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1979-10-10
Insured Address: San Jose
Insured Telephone: 87148948124
Claimant Address: San Jose
Claimant Telephone: 82714781953
Loss Location
USA
Local Authorities:
Loss Description: albendazole tablets 400 mg
Handling Instructions: albendazole tablets 400 mg