Claim ID: 19023
Submitted: Dec-24-2018
Requested Processing: Photos required
Name: Nicksax
Email: pfaccia@probbox.com
Company: google
Phone: 82386229714
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1977-10-10
Insured Address: New York
Insured Telephone: 81278642879
Claimant Address: New York
Claimant Telephone: 83456562185
Loss Location
USA
Local Authorities:
Loss Description: web 7 0 5 web home site 9 web www.breezecycle.com 3
Handling Instructions: web 7 0 5 web home site 9 web www.breezecycle.com 3