Claim ID: 19149
Submitted: Dec-26-2018
Requested Processing: Photos required
Name: Samsax
Email: bineta@probbox.com
Company: google
Phone: 84233125918
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1975-10-11
Insured Address: New York
Insured Telephone: 85243486529
Claimant Address: New York
Claimant Telephone: 83453426397
Loss Location
USA
Local Authorities:
Loss Description: web 2 5 2 http://www.osisecure.com/__media__/js/netsoltrademark.php page 4 home 8 1
Handling Instructions: web 2 5 2 http://www.osisecure.com/__media__/js/netsoltrademark.php page 4 home 8 1