Claim ID: 19162
Submitted: Dec-26-2018
Requested Processing: Photos required
Name: remokna-nn
Email: arnidipe1963@mail.ru
Company: google
Phone: 89616174173
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1976-12-12
Insured Address: 86=89 >23>@>4
Insured Telephone: 82717841488
Claimant Address: 86=89 >23>@>4
Claimant Telephone: 83411115357
Loss Location
>AA8O
Local Authorities:
Loss Description: 70<5=0 >:>==KE C?;>B=8B5;59
Handling Instructions: 70<5=0 >:>==KE C?;>B=8B5;59