Claim ID: 19038
Submitted: Dec-24-2018
Requested Processing: Photos required
Name: Annasax
Email: kdcbac@probbox.com
Company: google
Phone: 85616773659
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1980-11-12
Insured Address: New York
Insured Telephone: 86134483382
Claimant Address: New York
Claimant Telephone: 89999919977
Loss Location
USA
Local Authorities:
Loss Description: stromectol azithromycin 500 hydrochlorothiazide lisinopril prednisolone 20mg motilium domperidone 10mg
Handling Instructions: stromectol azithromycin 500 hydrochlorothiazide lisinopril prednisolone 20mg motilium domperidone 10mg