Claim ID: 19278
Submitted: Dec-27-2018
Requested Processing: Photos required
Name: Samsax
Email: gremlinsf@probbox.com
Company: google
Phone: 83597174137
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1978-10-12
Insured Address: New York
Insured Telephone: 87783294171
Claimant Address: New York
Claimant Telephone: 87581346293
Loss Location
USA
Local Authorities:
Loss Description: 4 de-briefme.com 8 www 8
Handling Instructions: 4 de-briefme.com 8 www 8