Claim ID: 19027
Submitted: Dec-24-2018
Requested Processing: Photos required
Name: Kiasax
Email: kcotropia@probbox.com
Company: google
Phone: 84773241186
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1980-12-12
Insured Address: Denver
Insured Telephone: 89835722847
Claimant Address: Denver
Claimant Telephone: 84455212899
Loss Location
USA
Local Authorities:
Loss Description: azithromycin 500
Handling Instructions: azithromycin 500